Healthcare Provider Details

I. General information

NPI: 1639009616
Provider Name (Legal Business Name): ERIN ATALLAH DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MCGLINCHEY DNP, APRN

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AVENUE K SE STE 3
WINTER HAVEN FL
33880-4123
US

IV. Provider business mailing address

11755 PAYNE RD
SEBRING FL
33875-9568
US

V. Phone/Fax

Practice location:
  • Phone: 863-293-7546
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9566851
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: