Healthcare Provider Details

I. General information

NPI: 1679402796
Provider Name (Legal Business Name): ERIN MARLENA KING APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1549 GALE LEMERAND DR
GAINESVILLE FL
32610-3008
US

IV. Provider business mailing address

6062 SW 75TH TER APT 213
GAINESVILLE FL
32608-5291
US

V. Phone/Fax

Practice location:
  • Phone: 352-733-0111
  • Fax:
Mailing address:
  • Phone: 734-377-2693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: