Healthcare Provider Details

I. General information

NPI: 1780865949
Provider Name (Legal Business Name): ERIN AILEEN WHITELATCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 FREDERICK ST
HANOVER PA
17331-3614
US

IV. Provider business mailing address

4514 SARATOGA CT
MANCHESTER MD
21102-1544
US

V. Phone/Fax

Practice location:
  • Phone: 301-310-6487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT010000470
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP031227
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR201379
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: