Smith, Alisa

Smith, Alisa is an individual health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-3050. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Pain Management, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Alisa can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Burlington MA 01805-3050
Phone: (781) 744-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X RN2291642 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN2291642 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN2291642 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2291642 Massachusetts

Profile Details

NPI number 1013407147
LBN Legal business name Smith, Alisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2018
Last updated Mar 13th, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013407147 NPPES
Massachusetts MEDICAID RN2291642

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