Provider Demographics
NPI:1952148363
Name:WELLINGTON, ALISON
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:WELLINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CA
Mailing Address - Zip Code:95570-9629
Mailing Address - Country:US
Mailing Address - Phone:845-323-2393
Mailing Address - Fax:
Practice Address - Street 1:470 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CA
Practice Address - Zip Code:95570-9629
Practice Address - Country:US
Practice Address - Phone:845-323-2393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula