Individual
ALISA M PEROZO-DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APRN, DNP, MSN
Contact information
Practice address
1019 N JEFFERSON ST, HUNTINGTON, IN 46750-2110
(260) 201-6768
Mailing address
1019 N JEFFERSON ST, HUNTINGTON, IN 46750-2110
(260) 201-6768
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-320895
IN
367A00000X
Advanced Practice Midwife
09000493A
IN
367A00000X
Advanced Practice Midwife
2019036551
MO
367A00000X
Advanced Practice Midwife
Primary
71016374A
IN
Other
Enumeration date
05/01/2020
Last updated
01/29/2026
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