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Individual

ALISON HIETALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
20 POWERS MILL RD, PHILLIPSTON, MA 01331-9700
(978) 895-6707
Mailing address
20 POWERS MILL RD, PHILLIPSTON, MA 01331-9700

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2324987
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2324987
MA

Other

Enumeration date
11/15/2022
Last updated
02/05/2025
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