Healthcare Provider Details

I. General information

NPI: 1265312680
Provider Name (Legal Business Name): ALYSSA FRANZOSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 CUMBERLAND ST STE 5
BRUNSWICK ME
04011-1829
US

IV. Provider business mailing address

211 HILLSIDE RD
BRUNSWICK ME
04011-7356
US

V. Phone/Fax

Practice location:
  • Phone: 207-406-4218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN76041
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-319481
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: