Provider Demographics
NPI:1922141985
Name:DUBOIS, ALICE MARGARET (RN, ANP, ACNP)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:MARGARET
Last Name:DUBOIS
Suffix:
Gender:F
Credentials:RN, ANP, ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:12 QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-1811
Mailing Address - Country:US
Mailing Address - Phone:617-924-1919
Mailing Address - Fax:617-924-1919
Practice Address - Street 1:55 FRUIT ST COX 201
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-9112
Practice Address - Fax:617-643-2874
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106724363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care