Individual
ALYSSA COOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DCNP
Contact information
Practice address
368 FAUNCE CORNER RD STE 2, DARTMOUTH, MA 02747-6250
(508) 998-1994
(508) 998-5781
Mailing address
368 FAUNCE CORNER RD STE 2, DARTMOUTH, MA 02747-6250
(508) 985-5285
(401) 239-1801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN01736
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01736
MEDICAL LICENSE
RI
Enumeration date
12/14/2017
Last updated
06/25/2021
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