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NPI Code Detail

MEDICARE: CHASTITY ERISMAN LPN

MEDICARE: CHASTITY ERISMAN LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NursePN266263PA

General Provider Information

NPI Number : 1184551178
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASTITY ERISMAN LPN
Provider Business Mailing Address
First Line : 410 N PRINCE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 N PRINCE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3010
Country : US
Telephone Number : 717-560-7917
Fax Number : 717-754-0299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2026
Last Update Date : 05/05/2026

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