Provider Demographics
NPI:1598171183
Name:TRUDEAU, ALLISON J (RN, CDOE)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:J
Last Name:TRUDEAU
Suffix:
Gender:F
Credentials:RN, CDOE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-3019
Mailing Address - Country:US
Mailing Address - Phone:774-254-1325
Mailing Address - Fax:
Practice Address - Street 1:108 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-3019
Practice Address - Country:US
Practice Address - Phone:774-254-1325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN50821163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator