Individual
ERICA LYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WSC, RN, PH.D.
Contact information
Practice address
226 GATOR CREEK RD, VENUS, FL 33960-3312
(239) 287-5341
Mailing address
226 GATOR CREEK RD, VENUS, FL 33960-3312
(239) 287-5341
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004345600
—
FL
05
—
680101396
—
FL
Enumeration date
01/27/2022
Last updated
01/27/2022
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