| Doctor Name: | NICOLE AMBER EGGEBRECHT |
| NPI Number: | 1710216379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9202157 |
| Business Practice Address: | 929 S Tamiami Trl Suite 101 Osprey, FL - 342299239 |
| Business Phone Number: | 9419174700 |
| Business Fax Number: | 9419174710 |
| Mailing Address: | Po Box 863407, ORLANDO |
| State: | FL |
| Postal Code: | 328863407 |
| Phone Number: | 9419172600 |
| Fax Number: | 9419177884 |
| NPI Enumeration Date: | 12/10/2009 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9202157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |