Provider Demographics
NPI:1154708204
Name:PALMER, ERIN LATRICE (FNP-BC, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LATRICE
Last Name:PALMER
Suffix:
Gender:F
Credentials:FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5809 E BONIWOOD TURN
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4830
Mailing Address - Country:US
Mailing Address - Phone:301-346-4141
Mailing Address - Fax:
Practice Address - Street 1:8507 OXON HILL RD
Practice Address - Street 2:STE 200 #1103
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744
Practice Address - Country:US
Practice Address - Phone:301-485-9643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR186805208000000X, 363LF0000X, 363LP0808X, 363LP2300X, 363L00000X
DCRN1016838163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024183040OtherVA BOARD OF NURSING
MDR186805OtherMARYLAND BOARD OF NURSING
DCNP1016838OtherDC BOARD OF NURSING