Provider Demographics
NPI:1497645337
Name:GEBHARDT, ALEXA (APRN)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:GEBHARDT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35129 GRAVELLY DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-8441
Mailing Address - Country:US
Mailing Address - Phone:602-642-7564
Mailing Address - Fax:
Practice Address - Street 1:35129 GRAVELLY DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-8441
Practice Address - Country:US
Practice Address - Phone:602-642-7564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040656363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily