Healthcare Provider Details

I. General information

NPI: 1518323575
Provider Name (Legal Business Name): ERIN HABERMAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2016
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 LOUIS DR STE 202
WARMINSTER PA
18974-2847
US

IV. Provider business mailing address

600 LOUIS DR STE 202
WARMINSTER PA
18974-2847
US

V. Phone/Fax

Practice location:
  • Phone: 215-957-5400
  • Fax: 215-957-5400
Mailing address:
  • Phone: 215-957-5400
  • Fax: 215-957-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015682
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: