Provider Demographics
NPI:1275119224
Name:CIERPKA, ELIZABETH MARIA (APRN)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:MARIA
Last Name:CIERPKA
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 1:118 SEVEN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-0235
Mailing Address - Country:US
Mailing Address - Phone:352-666-6950
Mailing Address - Fax:352-666-6438
Practice Address - Street 1:118 SEVEN HILLS DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-0235
Practice Address - Country:US
Practice Address - Phone:352-666-6950
Practice Address - Fax:352-666-6438
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009384363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11009384OtherAPRN