Healthcare Provider Details

I. General information

NPI: 1316157621
Provider Name (Legal Business Name): ERINN ELIZABETH VRANCHES BA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 BELMONT AVE
YOUNGSTOWN OH
44502-1037
US

IV. Provider business mailing address

3908 DORADO BEACH DR
CANFIELD OH
44406-9593
US

V. Phone/Fax

Practice location:
  • Phone: 330-744-2991
  • Fax:
Mailing address:
  • Phone: 330-702-1233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: