Healthcare Provider Details

I. General information

NPI: 1477187672
Provider Name (Legal Business Name): ERIN CATON YUKNIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2020
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 US HIGHWAY 98 W STE 110
MIRAMAR BEACH FL
32550-7231
US

IV. Provider business mailing address

4205 BELFORT RD STE 4015
JACKSONVILLE FL
32216-3623
US

V. Phone/Fax

Practice location:
  • Phone: 850-267-1603
  • Fax: 850-622-3342
Mailing address:
  • Phone: 904-450-6014
  • Fax: 904-450-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11004049
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: