Individual
SAMANTHA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 572-9447
Mailing address
2651 PLEASANT VALLEY DR, CANTONMENT, FL 32533-5719
(850) 572-9447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11011308
FL
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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