Provider Demographics
NPI:1821686635
Name:ECHEVARRIA, ALLISON RENEE (APRN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:RENEE
Last Name:ECHEVARRIA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 MAYO DR
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-4301
Mailing Address - Country:US
Mailing Address - Phone:352-253-0003
Mailing Address - Fax:
Practice Address - Street 1:1691 MAYO DR
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4301
Practice Address - Country:US
Practice Address - Phone:352-253-0003
Practice Address - Fax:352-253-0016
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11010317363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner