Provider Demographics
NPI:1992081509
Name:ERWIN, FLORENCIA Z (PA-C)
Entity type:Individual
Prefix:
First Name:FLORENCIA
Middle Name:Z
Last Name:ERWIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:FLORENCIA
Other - Middle Name:Z
Other - Last Name:ZAMUDIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20120 BALLINGER WAY NE SUITE B
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155
Mailing Address - Country:US
Mailing Address - Phone:206-858-5059
Mailing Address - Fax:949-385-9207
Practice Address - Street 1:850 OAK ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8442
Practice Address - Country:US
Practice Address - Phone:240-566-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC04630363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant