Individual provider · Type 1 NPI

Aleisha Nicole Thearle, PA-C

Surgical Physician Assistant · Fort Myers, FL

NPI number 1114440534 Active

Practice location

12670 Creekside Ln
Fort Myers, FL 33919-3370

Call (239) 482-2663 Map

Fax (239) 482-7585

Mailing address

17306 Coastal Ridge Dr
Fort Myers, FL 33908-5195

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X9110478 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1114440534

Aleisha Nicole Thearle, PA-C's National Provider Identifier is 1114440534, issued on Jul 18, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 14, 2026.