Provider Demographics
NPI:1619965241
Name:EHLIN, GAIL K (ARNP, RNC, BSN)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:K
Last Name:EHLIN
Suffix:
Gender:F
Credentials:ARNP, RNC, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 CYPRESS POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-4261
Mailing Address - Country:US
Mailing Address - Phone:954-341-2357
Mailing Address - Fax:
Practice Address - Street 1:5901 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5675
Practice Address - Country:US
Practice Address - Phone:954-984-8892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-07
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2608302363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology