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NPI Code Detail

MEDICARE: ERIN MCDONOUGH APRN

MEDICARE: ERIN MCDONOUGH APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP9313146FL
2363LG0600XGerontology Nurse PractitionerAPRN9313146FL
3363L00000XNurse PractitionerAPRN9313146FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073964268
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN MCDONOUGH APRN
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 7315 GREEN SLOPE DR
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33541-1314
Country : US
Telephone Number : 813-702-7885
Fax Number : 833-778-3246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2016
Last Update Date : 10/27/2022

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