Healthcare Provider Details

I. General information

NPI: 1952227811
Provider Name (Legal Business Name): MARIA C EHRENKRANTZ APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12675 S DIXIE HWY # 2032
PINECREST FL
33156-5958
US

IV. Provider business mailing address

12675 S DIXIE HWY # 2032
PINECREST FL
33156-5958
US

V. Phone/Fax

Practice location:
  • Phone: 786-505-2395
  • Fax:
Mailing address:
  • Phone: 786-505-2395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP11048792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: