Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 086979-23 | NH |
NPI | 1083904205 |
---|---|
Provider Name | Ms. Alyson Morse |
First Address | Groton, MA 01450-4254 |
Second Address | Groton, MA 01450-4254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2011 |
Last Update Date | 08/02/2022 |