Provider Demographics
NPI:1326580952
Name:EKATA, ALERO (ARNP)
Entity Type:Individual
Prefix:
First Name:ALERO
Middle Name:
Last Name:EKATA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALERO
Other - Middle Name:KATE
Other - Last Name:EKATA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:406 HEATHROW CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4731
Mailing Address - Country:US
Mailing Address - Phone:321-960-4929
Mailing Address - Fax:772-664-1557
Practice Address - Street 1:406 HEATHROW CIR
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-4731
Practice Address - Country:US
Practice Address - Phone:321-960-4929
Practice Address - Fax:772-664-1557
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3125742363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner