Individual
ERIN EUNAH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
155 S COURT AVE UNIT 1604, ORLANDO, FL 32801-3212
(770) 841-1660
Mailing address
155 S COURT AVE UNIT 1604, ORLANDO, FL 32801-3212
(770) 841-1660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9446774
FL
363LF0000X
Family Nurse Practitioner
R210168
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9446774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JB519Z
MEDICARE
FL
Enumeration date
07/18/2014
Last updated
01/25/2022
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