Provider Demographics
NPI:1962866533
Name:LAPRISE, ALLISON (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:
Last Name:LAPRISE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3781 MARK DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5331
Mailing Address - Country:US
Mailing Address - Phone:586-612-2318
Mailing Address - Fax:
Practice Address - Street 1:1240 S LAPEER RD STE 101A
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1470
Practice Address - Country:US
Practice Address - Phone:248-656-0472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIF0316254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily