Individual provider · NPI-1

Elizabeth Ervin

Community Health Worker · Newark, NJ

NPI number1669936696
StatusActive
Last updated in NPPESJan 23, 2019

Details

NPI
1669936696
Entity type
Individual (NPI-1)
Name
Elizabeth Ervin
Sex
Female
Sole proprietor
No
Enumeration date
Jan 23, 2019
Last updated
Jan 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

51 Clifton Ave Apt C2214
Newark, NJ 07104-4534

Phone 646-707-2090

Mailing address

51 Clifton Ave Apt C2214
Newark, NJ 07104-4534

Phone 646-707-2090

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Newark, NJ