ERICA GOULSTON CRNP NPI 1003214388

NPI Information

NPI: 1003214388
Provider Name: ERICA GOULSTON, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: STEWARD MEDICAL GROUP INC

PECOS Registration: Yes

Address:
909 WALNUT ST
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-7000
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Erica Goulston, CRNP is an acute care nurse practitioner in Philadelphia, PA with 8 years of experience. Erica Goulston, CRNP NPI is 1003214388. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2014

The provider's business location address is:

909 WALNUT ST
PHILADELPHIA, PA
ZIP 19107-211
Phone: (215) 955-7000

The NPI 1003214388 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/18/2014 and was last updated on 12/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	SP014452	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

NPI Synchronization or Removal

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