Provider Demographics
NPI:1952540791
Name:VALLARELLI, ALLISON MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MARIE
Last Name:VALLARELLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 PARK AVENUE EXT
Mailing Address - Street 2:APT 2
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-2656
Mailing Address - Country:US
Mailing Address - Phone:617-909-3686
Mailing Address - Fax:
Practice Address - Street 1:63 PARK AVENUE EXT
Practice Address - Street 2:APT 2
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-2656
Practice Address - Country:US
Practice Address - Phone:617-909-3686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA270386163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics