Provider Demographics
NPI:1396463972
Name:MCNAMARA, ERIN MARIE (APRN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 W SHAW PL
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34433-5909
Mailing Address - Country:US
Mailing Address - Phone:352-410-2227
Mailing Address - Fax:
Practice Address - Street 1:907 W NORVELL BRYANT HWY
Practice Address - Street 2:
Practice Address - City:CITRUS HILLS
Practice Address - State:FL
Practice Address - Zip Code:34442-5288
Practice Address - Country:US
Practice Address - Phone:352-765-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021169363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner