Provider Demographics
NPI:1548514250
Name:WOLTJEN, ERIN KATHRYN (MSN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KATHRYN
Last Name:WOLTJEN
Suffix:
Gender:
Credentials:MSN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-7056
Mailing Address - Country:US
Mailing Address - Phone:846-452-5524
Mailing Address - Fax:
Practice Address - Street 1:250 PEARL ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-7056
Practice Address - Country:US
Practice Address - Phone:484-645-2552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015210363LP0200X
PA11250703163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics