Provider Demographics
NPI:1487699591
Name:ERHARD, DARLA RAE (FNP)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:RAE
Last Name:ERHARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 JOHNSTON RD
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:TN
Mailing Address - Zip Code:37353-5612
Mailing Address - Country:US
Mailing Address - Phone:423-504-6950
Mailing Address - Fax:
Practice Address - Street 1:635 JOHNSTON RD
Practice Address - Street 2:
Practice Address - City:MC DONALD
Practice Address - State:TN
Practice Address - Zip Code:37353-5612
Practice Address - Country:US
Practice Address - Phone:423-504-6950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0114595363LF0000X
GARN152483363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q3500Medicare UPIN