Alonso, Mary Lou

Alonso, Mary Lou is an individual health care provider with primary practice located at 25647 Redwood Hwy , Cave Junction OR 97523-9332. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Alonso, Mary Lou can be contacted via phone (541) 592-4111.

Contact Information

Primary practice address
25647 Redwood Hwy Cave Junction OR 97523-9332
Phone: (541) 592-4111
Fax: (541) 592-3916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95009439 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 721070 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 202002885NP-PP Oregon

Profile Details

NPI number 1578815783
LBN Legal business name Alonso, Mary Lou
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2012
Last updated Oct 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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