Healthcare Provider Details
I. General information
NPI: 1952400020
Provider Name (Legal Business Name): ERIN HUGGINS STEARNS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5500 MILAN DR LAKE WESTON ELEMENTARY SERVICE CENTER
ORLANDO FL
32810-4405
US
IV. Provider business mailing address
700 ALAMEDA ST
ORLANDO FL
32804-7208
US
V. Phone/Fax
- Phone: 407-296-6430
- Fax:
- Phone: 407-835-1064
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | ARNP 9163483 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: