Provider Demographics
NPI:1881196954
Name:AHERN, ALISON MARIE (BSN, RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:MARIE
Last Name:AHERN
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CARROLL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-2112
Mailing Address - Country:US
Mailing Address - Phone:484-832-2515
Mailing Address - Fax:
Practice Address - Street 1:3704 MIDVALE AVE FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1715
Practice Address - Country:US
Practice Address - Phone:484-832-2515
Practice Address - Fax:484-401-7914
Is Sole Proprietor?:No
Enumeration Date:2018-03-05
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN650949163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant