Healthcare Provider Details

I. General information

NPI: 1306479274
Provider Name (Legal Business Name): ERIN KATHLEEN YAP APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5620 TARA BLVD STE 203
BRADENTON FL
34203-8866
US

IV. Provider business mailing address

5620 TARA BLVD STE 203
BRADENTON FL
34203-8866
US

V. Phone/Fax

Practice location:
  • Phone: 941-559-8502
  • Fax: 941-424-4174
Mailing address:
  • Phone: 941-559-8502
  • Fax: 941-424-4174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number221689
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11044825
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: