Provider Demographics
NPI:1831298314
Name:CONLEY, ALISON FIVECOAT (MSN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:FIVECOAT
Last Name:CONLEY
Suffix:
Gender:F
Credentials:MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13123 E 16TH AVE # B155
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7106
Mailing Address - Country:US
Mailing Address - Phone:720-777-6895
Mailing Address - Fax:720-777-7285
Practice Address - Street 1:13123 E 16TH AVE # B155
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-6895
Practice Address - Fax:720-777-7285
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0991154363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics