Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP 9275758 | FL |
N | 363LC1500X | Nurse Practitioner - Community Health | ARNP 9275758 | FL |
N | 363LW0102X | Nurse Practitioner - Women's Health | ARNP 9275758 | FL |
NPI | 1710380878 |
---|---|
Provider Name | Erin Luikart Forrey |
First Address | Spring Hill, FL 34609-8102 |
Second Address | St Petersburg, FL 33710-1926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2014 |
Last Update Date | 24/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
014102700 | (05) | FL |