Provider Demographics
NPI:1093340366
Name:FLORA, ERIN RENEE (FNP, RN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:RENEE
Last Name:FLORA
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:RENEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2050 CLUB CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-1324
Mailing Address - Country:US
Mailing Address - Phone:916-928-6848
Mailing Address - Fax:
Practice Address - Street 1:2050 CLUB CENTER DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-1324
Practice Address - Country:US
Practice Address - Phone:916-928-6848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-07
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014115363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily