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NPI Code Detail

MEDICARE: MRS. JEAN MARIE EHRHARDT ARNP

MEDICARE:  MRS. JEAN MARIE EHRHARDT  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP149372FL
2363LF0000XFamily Nurse PractitionerARNP1493272FL

General Provider Information

NPI Number : 1720264294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEAN MARIE EHRHARDT ARNP
Provider Business Mailing Address
First Line : PO BOX 878
Second Line :
City : DAVENPORT
State : FL
Zip : 33836-0878
Country : US
Telephone Number : 689-223-3898
Fax Number : 689-223-3898
Provider Business Practice Location Address
First Line : 712 53RD AVE E STE C
Second Line :
City : BRADENTON
State : FL
Zip : 34203-5827
Country : US
Telephone Number : 941-755-2456
Fax Number : 877-788-3881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2008
Last Update Date : 08/27/2024

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Directions to “ MRS. JEAN MARIE EHRHARDT ARNP” Practice Location

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