Individual
ALYSSA ANN SUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 852-8570
(508) 852-1022
Mailing address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-5532
(508) 852-1022
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN269516
MA
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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