Provider Demographics
NPI:1306976006
Name:ERSKINE, EILEEN RUDEGEAIR (CRNP)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:RUDEGEAIR
Last Name:ERSKINE
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:12510 PROSPERITY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1663
Mailing Address - Country:US
Mailing Address - Phone:240-485-5210
Mailing Address - Fax:
Practice Address - Street 1:5550 KNOLL NORTH DRIVE
Practice Address - Street 2:SUITE 460
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-0000
Practice Address - Country:US
Practice Address - Phone:410-730-9363
Practice Address - Fax:410-730-2084
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2015-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR097607363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD135825ZADTMedicare Oscar/Certification