Healthcare Provider Details

I. General information

NPI: 1942523915
Provider Name (Legal Business Name): ERIN L CLYMER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2010
Last Update Date: 05/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 SE MARICAMP RD
OCALA FL
34471-5537
US

IV. Provider business mailing address

2725 SE MARICAMP RD
OCALA FL
34471-5537
US

V. Phone/Fax

Practice location:
  • Phone: 352-369-8700
  • Fax: 352-369-8703
Mailing address:
  • Phone: 352-369-8700
  • Fax: 352-369-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9250897
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: