Provider Demographics
NPI:1245524008
Name:TALIAFERRO, ERIN ELIZABETH (AP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ELIZABETH
Last Name:TALIAFERRO
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 N 12TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-4006
Mailing Address - Country:US
Mailing Address - Phone:850-637-1548
Mailing Address - Fax:
Practice Address - Street 1:3101 N 12TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-4006
Practice Address - Country:US
Practice Address - Phone:850-637-1548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2488171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist