Provider Demographics
NPI:1033220322
Name:BROUSH, ERIN P (NNP-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:P
Last Name:BROUSH
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10721 WINDING WOOD TRL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6355
Mailing Address - Country:US
Mailing Address - Phone:919-720-8994
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-5071
Practice Address - Country:US
Practice Address - Phone:919-681-5551
Practice Address - Fax:919-681-7770
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBRO1-0438-3561363LN0000X
VA0024173279363LN0005X
NC234896363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care