Provider Demographics
NPI:1811499668
Name:FORD, ALLISON ROSENER (NP)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ROSENER
Last Name:FORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEURO-CRITICAL CARE
Mailing Address - Street 2:593 EDDY STREET
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4923
Mailing Address - Country:US
Mailing Address - Phone:401-444-5286
Mailing Address - Fax:401-444-7020
Practice Address - Street 1:NEURO-CRITICAL CARE
Practice Address - Street 2:593 EDDY STREET
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-5286
Practice Address - Fax:401-444-7020
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN01780363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care