Provider Demographics
NPI:1093235368
Name:EHRICH, SALLY WILLIAMS (APRN)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:WILLIAMS
Last Name:EHRICH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19615 STATE ROAD 7 STE 32
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-4700
Mailing Address - Country:US
Mailing Address - Phone:561-477-7000
Mailing Address - Fax:561-477-7707
Practice Address - Street 1:19615 STATE ROAD 7 STE 32
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-4700
Practice Address - Country:US
Practice Address - Phone:561-477-7000
Practice Address - Fax:561-477-7707
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77809-062363LP0200X
FLAPRN11030719363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner