Individual
ALISON R VIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-FNP
Contact information
Practice address
57 E MAIN ST, WESTBOROUGH, MA 01581-1464
(508) 870-1800
Mailing address
57 E MAIN ST STE 209, WESTBOROUGH, MA 01581-1445
(508) 870-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2306110
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN2306110
—
MA
Enumeration date
08/16/2017
Last updated
07/21/2022
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