Provider Demographics
NPI:1033998620
Name:ZUBER, ALISYN DENESE
Entity Type:Individual
Prefix:
First Name:ALISYN
Middle Name:DENESE
Last Name:ZUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2346 WINSLOWS MILLS RD
Mailing Address - Street 2:
Mailing Address - City:WALDOBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04572-5658
Mailing Address - Country:US
Mailing Address - Phone:207-431-4360
Mailing Address - Fax:
Practice Address - Street 1:2346 WINSLOWS MILLS RD
Practice Address - Street 2:
Practice Address - City:WALDOBORO
Practice Address - State:ME
Practice Address - Zip Code:04572-5658
Practice Address - Country:US
Practice Address - Phone:207-431-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant