Basic Information
| Provider Information | |||||||||
| NPI: | 1356591556 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRAUGER | ||||||||
| FirstName: | ERIN | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1011 REED AVE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | WYOMISSING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196101167 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103744401 | ||||||||
| FaxNumber: | 6103747140 | ||||||||
| Practice Location | |||||||||
| Address1: | 1011 REED AVE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | WYOMISSING | ||||||||
| State: | PA | ||||||||
| PostalCode: | 196101167 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103744401 | ||||||||
| FaxNumber: | 6103747140 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2008 | ||||||||
| LastUpdateDate: | 09/03/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | MA053635 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.