Individual
ALYSSA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 WHITE STREET, CAMBRIDGE, MA 02140
(617) 876-5519
Mailing address
36 WHITE STREET, CAMBRIDGE, MA 02140
(617) 876-5519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2293870
MA
Other
Enumeration date
03/04/2020
Last updated
04/02/2021
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