Healthcare Provider Details

I. General information

NPI: 1548967102
Provider Name (Legal Business Name): ALLISON PAGE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 PLEASANT ST STE A200
WATERTOWN MA
02472-2462
US

IV. Provider business mailing address

330 MT AUBURN ST PARSONS 2
CAMBRIDGE MA
02138-5597
US

V. Phone/Fax

Practice location:
  • Phone: 671-356-8282
  • Fax: 857-737-3401
Mailing address:
  • Phone: 617-356-8282
  • Fax: 857-737-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2328541
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2328541
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN2328541
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2328541
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: