Provider Demographics
NPI:1023490356
Name:GODFREY, ALEIHA (RN)
Entity type:Individual
Prefix:MISS
First Name:ALEIHA
Middle Name:
Last Name:GODFREY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 SE 47TH ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9685
Mailing Address - Country:US
Mailing Address - Phone:239-823-1024
Mailing Address - Fax:
Practice Address - Street 1:1218 SE 47TH ST
Practice Address - Street 2:SUITE 309
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9685
Practice Address - Country:US
Practice Address - Phone:239-823-1024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9358269163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health