Provider Demographics
NPI:1730996943
Name:STAUDT, ERIN LEIGH (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LEIGH
Last Name:STAUDT
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 DEL RIO DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-2810
Mailing Address - Country:US
Mailing Address - Phone:267-992-9139
Mailing Address - Fax:
Practice Address - Street 1:4 DEL RIO DR
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-2810
Practice Address - Country:US
Practice Address - Phone:267-992-9139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF355542-01207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine