Healthcare Provider Details

I. General information

NPI: 1780618306
Provider Name (Legal Business Name): ERIKA A CILURSO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

863 SE MONTEREY COMMONS BLVD
STUART FL
34996
US

IV. Provider business mailing address

863 SE MONTEREY COMMONS BLVD
STUART FL
34996
US

V. Phone/Fax

Practice location:
  • Phone: 772-781-3815
  • Fax: 772-781-3817
Mailing address:
  • Phone: 772-781-3815
  • Fax: 772-781-3817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9164947
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: