Healthcare Provider Details

I. General information

NPI: 1770574352
Provider Name (Legal Business Name): ALLISON FRANCIS VERENNA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ALLISON NOEL FRANCIS

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 3RD ST
CALIFORNIA PA
15419-1102
US

IV. Provider business mailing address

98 WILSON AVENUE
WASHINGTON PA
15301-3335
US

V. Phone/Fax

Practice location:
  • Phone: 724-938-7466
  • Fax: 724-938-7470
Mailing address:
  • Phone: 724-938-7466
  • Fax: 724-938-7470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD440313
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: