Provider Demographics
NPI:1215287784
Name:PULFER, ALEXIS ADLEBURG (CRNA)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ADLEBURG
Last Name:PULFER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:ADLEBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 MICCOSUKEE RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5054
Mailing Address - Country:US
Mailing Address - Phone:954-838-2588
Mailing Address - Fax:954-514-3979
Practice Address - Street 1:1613 HARRISON PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2896
Practice Address - Country:US
Practice Address - Phone:954-838-2588
Practice Address - Fax:954-514-3979
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9227566367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered