MEDICARE: CARYN ALEO FNP-BC

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	APRN11025911	FL
2	363LF0000X	Family Nurse Practitioner	4017364	KY
3	363LA2100X	Acute Care Nurse Practitioner	4017364	KY

General Provider Information

NPI Number	:	1376946103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARYN ALEO FNP-BC

Provider Business Mailing Address
First Line	:	2229 MARSH VIEW DR UNIT 103
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-4718
Country	:	US
Telephone Number	:	813-536-9455
Fax Number	:

Provider Business Practice Location Address
First Line	:	2229 MARSH VIEW DR UNIT 103
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-4718
Country	:	US
Telephone Number	:	813-536-9455
Fax Number	:

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

Provider Enumeration Date	:	10/07/2014
Last Update Date	:	04/24/2026

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