Provider Demographics
NPI:1134553514
Name:FALTER, ERIN JANE (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:JANE
Last Name:FALTER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:JANE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:150 SIMS DR
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13244-4412
Mailing Address - Country:US
Mailing Address - Phone:315-443-8000
Mailing Address - Fax:
Practice Address - Street 1:150 SIMS DR
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13244-4412
Practice Address - Country:US
Practice Address - Phone:315-443-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337976-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily