Mauricia P Alo, MSN, APRN,BC, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Poughkeepsie, NY
NPI 1124011838 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1124011838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- F304351 (NY)
- Practice address
- 1 Webster Ave
Poughkeepsie, NY 12601-1361 - Phone
- (845) 231-5600
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304351 | NY | MD | Adult Health Nurse Practitioner |
| 428636-1 | NY | MD | Critical Care Medicine Nurse Practitioner |
| NP-647 | ID | MD | Primary Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 428636-1 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | NP-647 | ID | |
| Adult Health Nurse Practitioner | 363LA2200X | F304351 | NY | Yes |
Addresses
Primary practice location
1 Webster Ave
Poughkeepsie, NY 12601-1361
Mailing address
110 S Bedford Rd
Mount Kisco, NY 10549-3446
Phone (914) 241-1050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03017585 | Medicaid | NY |
Other providers in Poughkeepsie, NY
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- Melissa J Allison
- Allsleepwell, Inc
- Amanda Alongi
- Jennifer Lynn Alongi
- Beth Nina Alter
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- Morton A Alterman
All providers in Poughkeepsie, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.