Provider Demographics
NPI:1932597440
Name:MALIZZI, ALISON (RN CNRP)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:MALIZZI
Suffix:
Gender:F
Credentials:RN CNRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-5210
Mailing Address - Country:US
Mailing Address - Phone:484-256-6221
Mailing Address - Fax:
Practice Address - Street 1:3350 E 7TH ST # 519
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-5003
Practice Address - Country:US
Practice Address - Phone:562-330-1243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008141363L00000X, 363L00000X, 363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine