Provider Demographics
NPI:1942523915
Name:CLYMER, ERIN L (ARNP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:CLYMER
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 1:2725 SE MARICAMP RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5537
Mailing Address - Country:US
Mailing Address - Phone:352-369-8700
Mailing Address - Fax:352-369-8703
Practice Address - Street 1:2725 SE MARICAMP RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5537
Practice Address - Country:US
Practice Address - Phone:352-369-8700
Practice Address - Fax:352-369-8703
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9250897363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001997000Medicaid