Provider Demographics
NPI:1699177915
Name:THE ALTERNATIVE
Entity Type:Organization
Organization Name:THE ALTERNATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:WILLADENE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER SCHMUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:941-954-1101
Mailing Address - Street 1:2750 BAHIA VISTA ST
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2600
Mailing Address - Country:US
Mailing Address - Phone:941-228-4611
Mailing Address - Fax:941-953-2707
Practice Address - Street 1:2750 BAHIA VISTA ST
Practice Address - Street 2:SUITE 108
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2600
Practice Address - Country:US
Practice Address - Phone:941-228-4611
Practice Address - Fax:941-953-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1328252364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty