Healthcare Provider Details

I. General information

NPI: 1154617827
Provider Name (Legal Business Name): ERINA TERESA EMERSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2011
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4090 E GALBRAITH RD
DEER PARK OH
45236-2324
US

IV. Provider business mailing address

4090 E GALBRAITH RD
DEER PARK OH
45236-2324
US

V. Phone/Fax

Practice location:
  • Phone: 513-853-9700
  • Fax:
Mailing address:
  • Phone: 513-853-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.020794
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: