Provider Demographics
NPI:1356771505
Name:MAURY, ALESHA (ND)
Entity type:Individual
Prefix:DR
First Name:ALESHA
Middle Name:
Last Name:MAURY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6295 W SAMPLE RD UNIT 670901
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-5148
Mailing Address - Country:US
Mailing Address - Phone:802-391-9628
Mailing Address - Fax:
Practice Address - Street 1:5 KOCHER DRIVE
Practice Address - Street 2:#1016
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-3362
Practice Address - Country:US
Practice Address - Phone:802-391-9628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-24
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ111281175F00000X
VT099.0134081175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath