Individual
ERICA L STAUDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11181 HEALTH PARK BLVD STE 1165, NAPLES, FL 34110
(239) 624-0320
(239) 624-0321
Mailing address
PO BOX 8569, NAPLES, FL 34101-8569
(239) 624-0400
(239) 624-0464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9327066
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9327066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018916000
—
FL
01
—
IDDAG
FLORIDA BLUE
FL
Enumeration date
07/11/2016
Last updated
06/17/2020
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