Individual
ALYSIA MONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, COX 630, BOSTON, MA 02114-2621
(617) 724-0800
Mailing address
108 DUDLEY ST, MEDFORD, MA 02155-4010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN256563
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN256563
MA
Other
Enumeration date
10/21/2014
Last updated
05/05/2017
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