Provider Demographics
NPI:1477110583
Name:HUPFER, ERLYN
Entity Type:Individual
Prefix:
First Name:ERLYN
Middle Name:
Last Name:HUPFER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 CHARDONNAY DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-5134
Mailing Address - Country:US
Mailing Address - Phone:321-537-4133
Mailing Address - Fax:
Practice Address - Street 1:3270 SUNTREE BLVD STE 2235
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7559
Practice Address - Country:US
Practice Address - Phone:321-482-8748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker