Provider Demographics
NPI:1275689978
Name:LAPORTE, ALISHIA S (RN)
Entity Type:Individual
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First Name:ALISHIA
Middle Name:S
Last Name:LAPORTE
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Gender:F
Credentials:RN
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Mailing Address - Street 1:621 S NEW BALLAS RD
Mailing Address - Street 2:SUITE 4006-B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8232
Mailing Address - Country:US
Mailing Address - Phone:314-251-6486
Mailing Address - Fax:314-251-4155
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:SUITE 4006-B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-251-6486
Practice Address - Fax:314-251-4155
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2021-10-04
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Provider Licenses
StateLicense IDTaxonomies
MO2002018652363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care