Provider Demographics
NPI:1346306784
Name:LEVER, ALICIA M (NP)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:M
Last Name:LEVER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:18356 SANTA STEPHANA CIR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5621
Mailing Address - Country:US
Mailing Address - Phone:714-962-2657
Mailing Address - Fax:
Practice Address - Street 1:279 IMPERIAL HWY
Practice Address - Street 2:770
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1041
Practice Address - Country:US
Practice Address - Phone:714-578-8616
Practice Address - Fax:714-578-8570
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2010-07-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA16618363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA447701OtherRN