Provider Demographics
NPI:1386290104
Name:LEON, ALYSON PAIGE (MSN, RN, AGCNS-BC)
Entity type:Individual
Prefix:MRS
First Name:ALYSON
Middle Name:PAIGE
Last Name:LEON
Suffix:
Gender:F
Credentials:MSN, RN, AGCNS-BC
Other - Prefix:MS
Other - First Name:ALYSON
Other - Middle Name:PAIGE
Other - Last Name:FIGUEROA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:316 MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53172-2837
Mailing Address - Country:US
Mailing Address - Phone:414-698-9461
Mailing Address - Fax:
Practice Address - Street 1:316 MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:SOUTH MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53172-2837
Practice Address - Country:US
Practice Address - Phone:414-698-9461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI172820-030364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical