Provider Demographics
NPI:1588481485
Name:SENATUS-MCCABE, ERNA (FNP)
Entity type:Individual
Prefix:
First Name:ERNA
Middle Name:
Last Name:SENATUS-MCCABE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ERNA
Other - Middle Name:
Other - Last Name:SENATUS-MCCABE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1060 W STATE ROAD 434
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4919
Mailing Address - Country:US
Mailing Address - Phone:407-310-4505
Mailing Address - Fax:
Practice Address - Street 1:1060 W STATE ROAD 434
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4919
Practice Address - Country:US
Practice Address - Phone:407-310-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11013201363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily