Healthcare Provider Details

I. General information

NPI: 1114789344
Provider Name (Legal Business Name): ERIN GALEN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N BUCKSTOWN RD STE E206
LANGHORNE PA
19047-1815
US

IV. Provider business mailing address

100 N BUCKSTOWN RD STE E206
LANGHORNE PA
19047-1815
US

V. Phone/Fax

Practice location:
  • Phone: 215-741-1963
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP029061
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: