Provider Demographics
NPI:1023580644
Name:ALONSO, SUMMER C (RN, CRNP)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:C
Last Name:ALONSO
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 W PENNSBURY WAY
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9307
Mailing Address - Country:US
Mailing Address - Phone:610-724-7559
Mailing Address - Fax:
Practice Address - Street 1:10 E 6TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1784
Practice Address - Country:US
Practice Address - Phone:610-567-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN604866163WP0808X
DEL8-0000209363LP0808X
NJNJCATEMP-032239363LP0808X
PASP021567363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ815011376OtherTAX ID- ALPHA COUNSELING SERVICES
1285266643OtherGROUP NPI-ALPHA COUNSELING SERVICES