Healthcare Provider Details

I. General information

NPI: 1801126115
Provider Name (Legal Business Name): ERIN ADAIR LYDEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2010
Last Update Date: 01/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8940 N KENDALL DR STE 300E
MIAMI FL
33176-2148
US

IV. Provider business mailing address

9350 SUNSET DR STE 200
MIAMI FL
33173-3286
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-2141
  • Fax: 305-279-7778
Mailing address:
  • Phone: 786-594-4210
  • Fax: 786-594-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9266048
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: