Provider Demographics
NPI:1184898108
Name:MCCURDY, ALICIA ELAINE (RN)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:ELAINE
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:ELAINE
Other - Last Name:MOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:2645 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2001
Mailing Address - Country:US
Mailing Address - Phone:717-782-2326
Mailing Address - Fax:717-782-2709
Practice Address - Street 1:2645 N 3RD ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2001
Practice Address - Country:US
Practice Address - Phone:717-782-2326
Practice Address - Fax:717-782-2709
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN502533L133NN1002X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN502533LOtherMEDICAL LICENSE