MRS. ALISSA GWEN LEDGERWOOD


Address: 1646 33rd St, Suite 101, Orlando, FL 32839-8866
Phone: 4074098118

MRS. ALISSA GWEN LEDGERWOOD (NPI# 1770971343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770971343
Entity Type Individual
Full Name MRS. ALISSA GWEN LEDGERWOOD
Credential ARNP
Practice Address 1646 33rd St
Suite 101
Orlando
FL 32839-8866
Mailing Address 3160 Southgate Commerce Blvd
Orlando
FL 32806-8549
Practice Telephone 4074098118
Practice Fax Number 4072646562
Mailing Telephone 4078594540
Mailing Fax Number 4078593815
Enumeration Date 2015-01-05
Last Update Date 2017-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9251745 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1646 33RD ST
SUITE 101
City ORLANDO
State FL
Zip Code 32839-8866

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City ORLANDO
Zip Code 32839

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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