Provider Demographics
NPI:1316288756
Name:LADD, ERIN LEIGH (RN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LEIGH
Last Name:LADD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 HARD SCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9159
Mailing Address - Country:US
Mailing Address - Phone:803-699-2999
Mailing Address - Fax:803-699-2888
Practice Address - Street 1:4801 HARD SCRABBLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9159
Practice Address - Country:US
Practice Address - Phone:803-699-2999
Practice Address - Fax:803-699-2888
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC73545163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool