Provider Demographics
NPI:1851491708
Name:COMERFORD, ERIN ANN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:ANN
Last Name:COMERFORD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 MALL DRIVE
Mailing Address - Street 2:322
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231
Mailing Address - Country:US
Mailing Address - Phone:941-323-0423
Mailing Address - Fax:
Practice Address - Street 1:4161 TAMIAMI TRAIL
Practice Address - Street 2:101
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-9208
Practice Address - Country:US
Practice Address - Phone:941-625-0984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9232674363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9232674OtherARNP