Provider Demographics
NPI:1700111820
Name:RICHARDSON, ALAYNA H (NP)
Entity Type:Individual
Prefix:MS
First Name:ALAYNA
Middle Name:H
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:ALAYNA
Other - Middle Name:H
Other - Last Name:BARNES-NESSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:P.O. BOX 760
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-4260
Mailing Address - Country:US
Mailing Address - Phone:781-756-7273
Mailing Address - Fax:781-721-0725
Practice Address - Street 1:11 SHORE ROAD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2821
Practice Address - Country:US
Practice Address - Phone:781-729-1810
Practice Address - Fax:781-729-4577
Is Sole Proprietor?:No
Enumeration Date:2009-10-07
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA280536363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily