Provider Demographics
NPI:1073213245
Name:GRISSINGER, ERIN BRIELLE (CPNP-PC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:BRIELLE
Last Name:GRISSINGER
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:BRIELLE
Other - Last Name:WEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:208 N PRESIDENT AVE APT E3
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3137
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1725 OREGON PIKE STE A100
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4206
Practice Address - Country:US
Practice Address - Phone:717-569-8518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP027265363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics