Provider Demographics
NPI:1477051829
Name:SOLORZANO, ALLYSON CLAIRE
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:CLAIRE
Last Name:SOLORZANO
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 1:80 OLD ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:SHERBORN
Mailing Address - State:MA
Mailing Address - Zip Code:01770-1036
Mailing Address - Country:US
Mailing Address - Phone:857-829-1463
Mailing Address - Fax:
Practice Address - Street 1:80 OLD ORCHARD RD
Practice Address - Street 2:
Practice Address - City:SHERBORN
Practice Address - State:MA
Practice Address - Zip Code:01770-1036
Practice Address - Country:US
Practice Address - Phone:857-829-1463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-30
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2315792163W00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse