Healthcare Provider Details

I. General information

NPI: 1912882879
Provider Name (Legal Business Name): ERIN IRWIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2025
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 STATE RD
LANCASTER PA
17601-1812
US

IV. Provider business mailing address

124 W FORREST AVE
SHREWSBURY PA
17361-1318
US

V. Phone/Fax

Practice location:
  • Phone: 223-287-8222
  • Fax:
Mailing address:
  • Phone: 484-735-5244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number703104
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: