Provider Demographics
NPI:1861114522
Name:CARVER, ERICA (CRNP)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:CARVER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 CATHERINE ST
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2750
Mailing Address - Country:US
Mailing Address - Phone:215-880-5671
Mailing Address - Fax:
Practice Address - Street 1:1700 HORIZON DR STE 203
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3906
Practice Address - Country:US
Practice Address - Phone:215-997-0890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026267207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine