Provider Demographics
NPI:1609462357
Name:KLEIN, ALYSSA MICHELLE (MSN FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:MICHELLE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MSN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3028 CARING WAY UNIT 4
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-5300
Mailing Address - Country:US
Mailing Address - Phone:941-212-2748
Mailing Address - Fax:941-328-8946
Practice Address - Street 1:3028 CARING WAY UNIT 4
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-5300
Practice Address - Country:US
Practice Address - Phone:941-212-2748
Practice Address - Fax:941-328-8946
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11010502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily