Provider Demographics
NPI:1619774072
Name:VOLLMER, ERIN LONGEST (MS, RN, NE-BC, NC-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LONGEST
Last Name:VOLLMER
Suffix:
Gender:F
Credentials:MS, RN, NE-BC, NC-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CHERRY TREE CIR
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-2317
Mailing Address - Country:US
Mailing Address - Phone:315-730-5171
Mailing Address - Fax:
Practice Address - Street 1:125 E JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-2020
Practice Address - Country:US
Practice Address - Phone:315-422-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY589177163W00000X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171400000XOther Service ProvidersHealth & Wellness Coach