Healthcare Provider Details

I. General information

NPI: 1639730278
Provider Name (Legal Business Name): ALISON VERDONE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 05/13/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SUMMER ST
TAUNTON MA
02780-3469
US

IV. Provider business mailing address

189 QUINCY ST
BROCKTON MA
02302-2967
US

V. Phone/Fax

Practice location:
  • Phone: 508-821-4100
  • Fax: 508-822-2367
Mailing address:
  • Phone: 508-588-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2293971
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: