Provider Demographics
NPI:1770574352
Name:VERENNA, ALLISON FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:FRANCIS
Last Name:VERENNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:NOEL
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:98 WILSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-3335
Mailing Address - Country:US
Mailing Address - Phone:724-938-7466
Mailing Address - Fax:724-938-7470
Practice Address - Street 1:415 3RD ST
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:PA
Practice Address - Zip Code:15419-1102
Practice Address - Country:US
Practice Address - Phone:724-938-7466
Practice Address - Fax:724-938-7470
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440313207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1008243860002Medicaid
PA875375OtherWPSO GROUP PTAN
PA1008243860002Medicaid
PA323438Medicare UPIN