Provider Demographics
NPI:1376657387
Name:D'ALESIO, ELIZABETH A (MSN ANP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:A
Last Name:D'ALESIO
Suffix:
Gender:F
Credentials:MSN ANP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-881-1752
Practice Address - Street 1:1 CABOT RD STE 101
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2963
Practice Address - Country:US
Practice Address - Phone:978-562-3536
Practice Address - Fax:978-562-4626
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN131960363L00000X
MA131960363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2000000131OtherHARVARD PILGRIM HEAL
NP2438OtherBLBS
0007935OtherNEIGHBORHOOD HEALTH
042508906-004OtherCIGNA HEALTHCARE
S006961OtherCHAMPUS
W0G99OtherEMPIRE BLUE SHIELD
0163651OtherMASSHEALTH
63103OtherFALLON COMMUNITY HEA
0004322660OtherAETNA NONHMO
028417OtherTUFT'S HEALTH PLAN
07-02004OtherUNITED HEALTH PLANS
17779OtherCIGNA HEALTHSOURCE
NP2434OtherRAILROAD MEDICARE
94135OtherAETNA HMO
NP2434OtherMEDICARE B
2000000131OtherHARVARD PILGRIM HEAL
P06728Medicare UPIN