Provider Demographics
NPI:1922672633
Name:STARLING LOPORTO, ERICA LYNNE (AGACNP)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:LYNNE
Last Name:STARLING LOPORTO
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1928
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36302-1928
Mailing Address - Country:US
Mailing Address - Phone:334-793-8087
Mailing Address - Fax:334-793-8191
Practice Address - Street 1:1118 ROSS CLARK CIR STE 200
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3029
Practice Address - Country:US
Practice Address - Phone:334-792-5184
Practice Address - Fax:334-792-5190
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-143008363LA2100X
FLAPRN11013693363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily