Provider Demographics
NPI:1952886848
Name:PRICE, ALIAH AQUILA (APRN/FNP)
Entity Type:Individual
Prefix:MRS
First Name:ALIAH
Middle Name:AQUILA
Last Name:PRICE
Suffix:
Gender:F
Credentials:APRN/FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1293 ROYAL POINTE LN
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-1464
Mailing Address - Country:US
Mailing Address - Phone:954-549-0409
Mailing Address - Fax:
Practice Address - Street 1:2381 MASON AVE STE 100
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-5161
Practice Address - Country:US
Practice Address - Phone:954-549-0409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9237375363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily