Provider Demographics
NPI:1861635534
Name:DELLA MAGGIORA, ALLISON CHRISTIANNE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:CHRISTIANNE
Last Name:DELLA MAGGIORA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:CHRISTIANNE
Other - Last Name:HAYEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-795-3619
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:5700 WATT AVE
Practice Address - Street 2:
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-4752
Practice Address - Country:US
Practice Address - Phone:916-332-5715
Practice Address - Fax:916-332-1849
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP18795363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACL191YOtherMEDICARE PTAN