Provider Demographics
NPI:1275955965
Name:SCAFE, ALISON (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:SCAFE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:LAPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 W PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:ILION
Mailing Address - State:NY
Mailing Address - Zip Code:13357-1432
Mailing Address - Country:US
Mailing Address - Phone:315-717-3087
Mailing Address - Fax:
Practice Address - Street 1:15 W PROSPECT ST
Practice Address - Street 2:
Practice Address - City:ILION
Practice Address - State:NY
Practice Address - Zip Code:13357-1432
Practice Address - Country:US
Practice Address - Phone:315-717-3087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291147-1164W00000X
AZLP047520164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse