Provider Demographics
NPI:1043822455
Name:LUBITZ, ERIN ELIZA (BS, RN, DNP-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ELIZA
Last Name:LUBITZ
Suffix:
Gender:F
Credentials:BS, RN, DNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3029 BRANDT DR S STE A
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-9140
Mailing Address - Country:US
Mailing Address - Phone:701-566-5306
Mailing Address - Fax:
Practice Address - Street 1:3029 BRANDT DR S STE A
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-9140
Practice Address - Country:US
Practice Address - Phone:701-566-5306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR41443363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care