Healthcare Provider Details

I. General information

NPI: 1881508588
Provider Name (Legal Business Name): ERIN W KLINGMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7573 PARK AVE
HOUMA LA
70364-3634
US

IV. Provider business mailing address

13 DALLAS DR
HOUMA LA
70360-7305
US

V. Phone/Fax

Practice location:
  • Phone: 985-879-6428
  • Fax:
Mailing address:
  • Phone: 985-879-6428
  • Fax: 985-851-0816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN104266
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: