Healthcare Provider Details

I. General information

NPI: 1467317057
Provider Name (Legal Business Name): ERIN KELLY MCELROY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COOPER PLZ
CAMDEN NJ
08103-1461
US

IV. Provider business mailing address

2315 BROWN ST
PHILADELPHIA PA
19130-1915
US

V. Phone/Fax

Practice location:
  • Phone: 610-519-7777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NR24836600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: