Provider Demographics
NPI:1295965002
Name:LEES, ALISON KROUPA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:KROUPA
Last Name:LEES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 ARCOS AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-9459
Mailing Address - Country:US
Mailing Address - Phone:239-390-3376
Mailing Address - Fax:239-333-0474
Practice Address - Street 1:10201 ARCOS AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-9459
Practice Address - Country:US
Practice Address - Phone:239-390-3376
Practice Address - Fax:239-333-0474
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9195796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9195796OtherSTATE LICENSE #
FLARNP9195796OtherSTATE LICENSE #