Healthcare Provider Details

I. General information

NPI: 1356051171
Provider Name (Legal Business Name): ALANA J GAINER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1846 HIGHWAY 1 STE A
ROCKLEDGE FL
32955-2822
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-361-5597
  • Fax: 321-434-7035
Mailing address:
  • Phone: 321-361-5597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11020797
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11020797
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: