Healthcare Provider Details

I. General information

NPI: 1154795706
Provider Name (Legal Business Name): ERIN MCDEVITT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 PARK DR STE 101
HARRISBURG PA
17110-9303
US

IV. Provider business mailing address

7755 CENTER AVE STE 630
HUNTINGTON BEACH CA
92647-9152
US

V. Phone/Fax

Practice location:
  • Phone: 717-686-9842
  • Fax:
Mailing address:
  • Phone: 657-237-2450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015345
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: