Individual
ILKA FAWN SEPHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10967 LAKE UNDERHILL RD STE 113, ORLANDO, FL 32825-4434
(833) 769-3524
Mailing address
10967 LAKE UNDERHILL RD STE 113, ORLANDO, FL 32825-4434
(833) 769-3524
(407) 412-9170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9367205
FL
363LF0000X
Family Nurse Practitioner
11020697
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11020697
FL
Other
Enumeration date
12/06/2022
Last updated
01/05/2026
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