Provider Demographics
NPI:1699251017
Name:KANE, ERIN KACI (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:KACI
Last Name:KANE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 KENNEDY DR STE 302
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4133
Mailing Address - Country:US
Mailing Address - Phone:305-209-0044
Mailing Address - Fax:806-454-5689
Practice Address - Street 1:1010 KENNEDY DR STE 302
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4133
Practice Address - Country:US
Practice Address - Phone:305-209-0044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX838259163W00000X
TXAP137796363LF0000X
COC-APN.0001163-C-NP363LF0000X
FLAPRN11006068363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC-APN.0001163-C-NPOtherAPRN LICENSE
F06181522OtherNATIONAL CERTIFICATION
FLAPRN11006068OtherAPRN
TXAP137796OtherAPRN
COC-RXN.0000485-C-NPOtherRXN LICENSE