Individual
MISS ALIA CRYSTAL MACPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1 BLACKBURN DR, GLOUCESTER, MA 01930-2292
(978) 281-1500
(978) 282-3611
Mailing address
1 BLACKBURN DR, GLOUCESTER, MA 01930-2292
(978) 281-1500
(978) 282-3611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5991
CT
363LF0000X
Family Nurse Practitioner
Primary
RN2305963
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN2305963
—
MA
Enumeration date
11/25/2014
Last updated
07/02/2021
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