Provider Demographics
NPI:1922080548
Name:EHRHARDT, CYNTHIA R (ARNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:R
Last Name:EHRHARDT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 SE 17TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5588
Mailing Address - Country:US
Mailing Address - Phone:352-732-9922
Mailing Address - Fax:352-732-6934
Practice Address - Street 1:3515 SE 17TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5588
Practice Address - Country:US
Practice Address - Phone:352-732-9922
Practice Address - Fax:352-732-6934
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2083782363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner