Healthcare Provider Details

I. General information

NPI: 1447766480
Provider Name (Legal Business Name): INGRID CHARLOTTE ENCINAS PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2017
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 IRMA AVE
ORLANDO FL
32803-3853
US

IV. Provider business mailing address

5149 CODDINGTON ST
ORLANDO FL
32812-8133
US

V. Phone/Fax

Practice location:
  • Phone: 305-900-0818
  • Fax: 407-305-0711
Mailing address:
  • Phone: 407-900-0818
  • Fax: 407-305-0711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9322143
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: