Provider Demographics
NPI:1043209034
Name:ALEMAN, AURORA V (CRNA)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:V
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11681 PLANTATION PRESERVE CIR S
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-8372
Mailing Address - Country:US
Mailing Address - Phone:239-822-2623
Mailing Address - Fax:
Practice Address - Street 1:11681 PLANTATION PRESERVE CIR S
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-8372
Practice Address - Country:US
Practice Address - Phone:239-822-2623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9190333367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8659ZOtherMCR
FL430077462OtherMCRR
FLG3205OtherBSFL
FL305122600Medicaid