Healthcare Provider Details

I. General information

NPI: 1164852844
Provider Name (Legal Business Name): ERIN FLYNN DAVIS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN FLYNN DNP

II. Dates (important events)

Enumeration Date: 11/18/2013
Last Update Date: 10/29/2020
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3824 NORTHERN PIKE STE 525
MONROEVILLE PA
15146
US

IV. Provider business mailing address

3824 NORTHERN PIKE STE 700
MONROEVILLE PA
15146-2141
US

V. Phone/Fax

Practice location:
  • Phone: 412-380-2750
  • Fax: 412-380-2883
Mailing address:
  • Phone: 412-457-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP013257
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: