Healthcare Provider Details

I. General information

NPI: 1467512814
Provider Name (Legal Business Name): ALYN MCGEE ARNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 LAKE ELLENOR DR. SOUTHSIDE CLINIC - ORANGE COUNTY HEALTH DEPARTMENT
ORLANDO FL
32809
US

IV. Provider business mailing address

6101 LAKE ELLENOR DR
ORLANDO FL
32809-4616
US

V. Phone/Fax

Practice location:
  • Phone: 407-858-1424
  • Fax:
Mailing address:
  • Phone: 407-858-1424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP2158322
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: