Provider Demographics
NPI:1255812087
Name:CAHALAN, ALLISON O'DONNELL (DNP, AGPCNP-BC)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:O'DONNELL
Last Name:CAHALAN
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Gender:F
Credentials:DNP, AGPCNP-BC
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Mailing Address - Street 1:4715 S FLORIDA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-2101
Mailing Address - Country:US
Mailing Address - Phone:863-209-7004
Mailing Address - Fax:863-274-3542
Practice Address - Street 1:4715 S FLORIDA AVE STE 200
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-2101
Practice Address - Country:US
Practice Address - Phone:863-209-7004
Practice Address - Fax:863-274-3542
Is Sole Proprietor?:No
Enumeration Date:2018-08-29
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9360421363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology