Provider Demographics
NPI:1508565425
Name:ENGLISH, ALISSA MAUREEN (CNP)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:MAUREEN
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ALISSA
Other - Middle Name:MAUREEN
Other - Last Name:O'DONOGHUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 BAKER AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2124
Mailing Address - Country:US
Mailing Address - Phone:781-386-0586
Mailing Address - Fax:781-205-1564
Practice Address - Street 1:300 BAKER AVE STE 300
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2124
Practice Address - Country:US
Practice Address - Phone:781-386-0586
Practice Address - Fax:781-205-1564
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2335890163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse