Provider Demographics
NPI:1093340366
Name:FLORA, ERIN RENEE (FNP-BC, RN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:RENEE
Last Name:FLORA
Suffix:
Gender:F
Credentials:FNP-BC, RN
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:RENEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:916 N WHITE SANDS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6926
Mailing Address - Country:US
Mailing Address - Phone:305-908-7875
Mailing Address - Fax:
Practice Address - Street 1:916 N WHITE SANDS BLVD
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6926
Practice Address - Country:US
Practice Address - Phone:530-908-7875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-07
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA767656163WD0400X
CA95014115363LF0000X
NM79297363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator