Healthcare Provider Details

I. General information

NPI: 1821134792
Provider Name (Legal Business Name): CYNTHIA M NEHRKORN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 WHIPPOORWILL LN
NAPLES FL
34105-3847
US

IV. Provider business mailing address

1223 WHIPPOORWILL LN
NAPLES FL
34105-5028
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-4404
  • Fax: 239-280-5998
Mailing address:
  • Phone: 239-261-4404
  • Fax: 239-280-5998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberME74143
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME74143
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: