# ALISA M PEROZO-DICKERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588285431
- **Gender:** F
- **Credential:** CNM, APRN, DNP, MSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WL0100X | Lactation Consultant (Registered Nurse) | L-320895 | IN | — |
| 367A00000X | Advanced Practice Midwife | 09000493A | IN | — |
| 367A00000X | Advanced Practice Midwife | 2019036551 | MO | — |
| 367A00000X | Advanced Practice Midwife | 71016374A | IN | Yes |

## Other

- **Enumeration date:** 05/01/2020
- **Last updated:** 01/29/2026