Provider Demographics
NPI:1902563836
Name:KNOWLTON, ERIN JUNE
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:JUNE
Last Name:KNOWLTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 CARLISLE RD STE 403
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17408-4000
Mailing Address - Country:US
Mailing Address - Phone:717-219-4202
Mailing Address - Fax:717-680-6799
Practice Address - Street 1:2217 CARLISLE RD STE 403
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17408-4000
Practice Address - Country:US
Practice Address - Phone:717-219-4202
Practice Address - Fax:717-680-6799
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-27
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024941363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health