| Doctor Name: | CHARRITA ANNIESE ERNEWEIN |
| NPI Number: | 1083959688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | APRN9186728 |
| Business Practice Address: | 24420 Sr 54 Lutz, FL - 335597303 |
| Business Phone Number: | 8139494100 |
| Business Fax Number: | 8139494144 |
| Mailing Address: | 2535 Mason Oaks Dr, VALRICO |
| State: | FL |
| Postal Code: | 335966498 |
| Phone Number: | 8138920635 |
| Fax Number: | 7277891010 |
| NPI Enumeration Date: | 12/07/2012 |
| NPI Last Update Date: | 12/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN9186728 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |