William R Allsop, NP

Individual provider Active NPI Nurse Practitioner · Worcester, MA

NPI 1124334016 · NPPES record last updated Oct 27, 2010

Key facts

NPI
1124334016
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
253032 (MA)
Practice address
55 Lake Ave N
Worcester, MA 01655-0002
Phone
(774) 443-7552
NPI assigned
Aug 30, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 253032 MA Yes

Addresses

Primary practice location

55 Lake Ave N
Worcester, MA 01655-0002

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other providers in Worcester, MA

All providers in Worcester, MA · Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.