MEDICARE: ALDENE CODLING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP3122072	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740450675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALDENE CODLING

Provider Business Mailing Address
First Line	:	1860 SW FOUNTAINVIEW BLVD STE 110
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-4535
Country	:	US
Telephone Number	:	772-204-5110
Fax Number	:	855-442-0248

Provider Business Practice Location Address
First Line	:	1860 SW FOUNTAINVIEW BLVD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-4535
Country	:	US
Telephone Number	:	772-204-5110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2008
Last Update Date	:	05/25/2024

Similar Medicare Providers

1093678989 — MINDSTRIVE WELLNESS LLC
Practice Location Address:

1860 SW FOUNTAINVIEW BLVD # 1045
PORT ST LUCIE, FL
34986-4535

Practice Phone: 772-275-6409
Practice Fax:

1396623880 — JERIECE K LOVELACE APRN, PMHNP
Practice Location Address:

1860 SW FOUNTAINVIEW BLVD
PORT SAINT LUCIE, FL
34986-4535

Practice Phone: 786-853-2864
Practice Fax:

1902760531 — BEST IN TOWN HOME CARE SERVICES LLC
Practice Location Address:

1860 SW FOUNTAINVIEW BLVD STE 34
PORT ST LUCIE, FL
34986-4535

Practice Phone: 857-236-9287
Practice Fax:

1881941979 — BARBIE CASALES LOPEZ LMHC
Practice Location Address:

1860 SW FOUNTAINVIEW BLVD
PORT SAINT LUCIE, FL
34986-4535

Practice Phone: 239-289-9796
Practice Fax:

1285197251 — SHANTELL WALKINE DBA BRIGHTER CARE
Practice Location Address:

1860 SW FOUNTAINVIEW BLVD STE 74
PORT ST LUCIE, FL
34986-4535

Practice Phone: 772-200-3771
Practice Fax: 772-302-3807

1043974264 — JNA RIVERVIEW INC
Practice Location Address:

1860 SW FOUNTAINVIEW BLVD
PORT ST LUCIE, FL
34986-4535

Practice Phone: 772-204-5110
Practice Fax:

Directions to “ ALDENE CODLING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.