Basic Information
Provider Information
NPI: 1841410545
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEMAN
FirstName: ELENA
MiddleName:  
NamePrefix: MISS
NameSuffix:  
Credential: ARNP FNP BC, LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 3434 HANCOCK BRIDGE PKWY
Address2: STE 301
City: NORTH FORT MYERS
State: FL
PostalCode: 339037094
CountryCode: US
TelephoneNumber: 8778563774
FaxNumber: 2395992625
Practice Location
Address1: 2002 DEL PRADO BLVD S
Address2: STE 100
City: CAPE CORAL
State: FL
PostalCode: 339904557
CountryCode: US
TelephoneNumber: 2392174470
FaxNumber: 2392174474
Other Information
ProviderEnumerationDate: 04/26/2007
LastUpdateDate: 01/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500XMH6232FLN Behavioral Health & Social Service ProvidersCounselorProfessional
363LF0000XARNP9307716FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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