Individual provider · Type 1 NPI
Erin C. Detorie, CNP
Neonatal Nurse Practitioner · Phoenix, AZ
NPI number
1295513372
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 320184 (AZ) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1295513372
Erin C. Detorie, CNP's National Provider Identifier is 1295513372, issued on Sep 19, 2023. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 6, 2025.