SAMANTHA ERVIN

FORT WALTON BEACH, FL
NPI1659962363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11011308)
Enumeration Date2021-01-27
Last Update Date2021-01-27
Business Address
SAMANTHA ERVIN APRN
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547-6708
Phone number: 850-572-9447
Mailing Address
SAMANTHA ERVIN APRN
2651 PLEASANT VALLEY DR
CANTONMENT, FL 32533-5719
Phone number: 850-572-9447