Provider Demographics
NPI:1679297956
Name:ALBRO, ALYSSA (APRN)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:ALBRO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:JOANNA
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:22 STRAFFORD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-4702
Mailing Address - Country:US
Mailing Address - Phone:603-366-1070
Mailing Address - Fax:
Practice Address - Street 1:22 STRAFFORD ST STE 1
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-4702
Practice Address - Country:US
Practice Address - Phone:603-366-1070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH078512-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily