Provider Demographics
NPI:1053554188
Name:MOUYEOS, ERIN RINTOUL (NP)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:RINTOUL
Last Name:MOUYEOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 RANDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-1441
Mailing Address - Country:US
Mailing Address - Phone:716-835-0503
Mailing Address - Fax:
Practice Address - Street 1:330 RANDWOOD DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-1441
Practice Address - Country:US
Practice Address - Phone:716-835-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY551661-1163W00000X
NYF307974-1363LA2200X
NY307974363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health