Basic Information
Provider Information
NPI: 1326415183
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARISH-GIBSON
FirstName: ERIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11850 W MARKET PL
Address2: SUITE P
City: FULTON
State: MD
PostalCode: 207592670
CountryCode: US
TelephoneNumber: 3013408339
FaxNumber: 2404855407
Practice Location
Address1: 1165 IMPERIAL DR
Address2: SUITE 300
City: HAGERSTOWN
State: MD
PostalCode: 217406555
CountryCode: US
TelephoneNumber: 3016659098
FaxNumber: 3016659096
Other Information
ProviderEnumerationDate: 08/27/2015
LastUpdateDate: 01/16/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
176B00000XR217608MDY Other Service ProvidersMidwife 

No ID Information.


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