Individual provider · NPI-1

Ernest Alfred

Registered Nurse, Home Health · Orlando, FL

NPI number1376118927
StatusActive
Last updated in NPPESMay 25, 2021

Details

NPI
1376118927
Entity type
Individual (NPI-1)
Name
Ernest Alfred
Sex
Male
Sole proprietor
No
Enumeration date
May 25, 2021
Certification date
May 21, 2021
Last updated
May 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WH0200X Registered Nurse, Home Health30212200FLYes
164W00000X Licensed Practical Nurse3021220FL
374U00000X Home Health Aide3021220FL
376K00000X Nurse's Aide3021220FL

Practice location

5120 Curry Ford Rd Ste B
Orlando, FL 32812-8743

Phone 407-219-0763

Mailing address

12841 Moss Park Ridge Dr
Orlando, FL 32832-7088

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