Healthcare Provider Details

I. General information

NPI: 1891617668
Provider Name (Legal Business Name): ERSKIN PSYCHIATRIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1455 NW LEARY WAY STE 400
SEATTLE WA
98107-5138
US

IV. Provider business mailing address

112 GIFFORDTOWN LN UNIT 295
LITTLE EGG HARBOR TWP NJ
08087-9605
US

V. Phone/Fax

Practice location:
  • Phone: 509-613-5042
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PETRA ERSKIN
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 509-613-5042