Provider Demographics
NPI:1811462773
Name:SIPAHI, ALLYSON JUDITH (APRN)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:JUDITH
Last Name:SIPAHI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:JUDITH
Other - Last Name:BUEROSSE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:900 S PINE ISLAND RD STE 800
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3923
Mailing Address - Country:US
Mailing Address - Phone:954-965-6400
Mailing Address - Fax:954-965-7339
Practice Address - Street 1:5810 CORAL RIDGE DR STE 300
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3377
Practice Address - Country:US
Practice Address - Phone:954-414-7770
Practice Address - Fax:954-840-3374
Is Sole Proprietor?:No
Enumeration Date:2018-10-08
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9404268363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107285600Medicaid