Provider Demographics
NPI:1780168856
Name:MALE, ALISON (RN)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:MALE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:BELLENIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:530 W OLDFIELD ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-1810
Mailing Address - Country:US
Mailing Address - Phone:989-464-1519
Mailing Address - Fax:
Practice Address - Street 1:530 W OLDFIELD ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1810
Practice Address - Country:US
Practice Address - Phone:989-464-1519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704340018163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health