| Doctor Name: | ERIN DEWRELL PRENDERGAST |
| NPI Number: | 1053711911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 1-132471 |
| Business Practice Address: | 1700 W 2nd St Gulf Shores, AL - 365423422 |
| Business Phone Number: | 2519674000 |
| Business Fax Number: | 2519672398 |
| Mailing Address: | Po Box 2699, PENSACOLA |
| State: | FL |
| Postal Code: | 325132699 |
| Phone Number: | 2519674000 |
| Fax Number: | 2519672398 |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1-132471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |