Provider Demographics
NPI:1497175335
Name:HALSEMA, ALLISON CULPEPPER (NP)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:CULPEPPER
Last Name:HALSEMA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:ALLISON
Other - Last Name:CULPEPPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5433 BURNT HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33596-9204
Mailing Address - Country:US
Mailing Address - Phone:813-340-4124
Mailing Address - Fax:
Practice Address - Street 1:5433 BURNT HICKORY DR
Practice Address - Street 2:
Practice Address - City:VALRICO
Practice Address - State:FL
Practice Address - Zip Code:33596-9204
Practice Address - Country:US
Practice Address - Phone:813-340-4124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN230710363LF0000X
CA95026995363LF0000X
TN19796363LF0000X
DCNP5000017422363LF0000X
WAAP60384168363LF0000X
HIAPRN-48050363LF0000X
CT5341363LF0000X
COC-APN0003142363LF0000X
IDNP-1285A363LF0000X
IL209012119363LF0000X
IN71015154A363LF0000X
KS83081363LF0000X
KY30080000363LF0000X
MARN2288894363LF0000X
FL9272904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily