Organization Name: | PRIMARY CARE FOR ADULTS, PLLC |
NPI Number: | 1669710547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH A D'ALESIO (NURSE PRACTITIONER) |
Mailing Address: | 54 Hopedale St Hopedale |
State: | MA US |
Postal Code: | 017471700 |
Phone Number: | 5084738373 |
Fax Number: | 5086348744 |
NPI Enumeration Date: | 01/28/2013 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 131960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |