Individual
ERIN WALENCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
183 LANDRUM LN STE 104, PONTE VEDRA BEACH, FL 32082-3838
(904) 267-0146
Mailing address
312 TWILIGHT LN, SAINT AUGUSTINE, FL 32095-0082
(732) 804-8637
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11028577
FL
363LF0000X
Family Nurse Practitioner
26NJ14931600
NJ
Other
Enumeration date
10/18/2023
Last updated
02/22/2025
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