MEDICARE: ALYSSE SYLVESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2293365	MA

General Provider Information

NPI Number	:	1588271811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSE SYLVESTER

Provider Business Mailing Address
First Line	:	44 GRETTER RD
Second Line	:
City	:	WEST ROXBURY
State	:	MA
Zip	:	02132-7802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 MANSFIELD RD
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-4609
Country	:	US
Telephone Number	:	508-726-9467
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2020
Last Update Date	:	09/30/2020

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Directions to “ ALYSSE SYLVESTER ” Practice Location

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