NPI 1508524430 · live from the CMS NPI Registry
Alicia Avola, FNP-BC
Nurse Practitioner, Pediatrics in Boston, MA. National Provider Identifier 1508524430, active.
NPI record
| NPI | 1508524430 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 300 Longwood Ave, Boston, MA 02115 |
| Practice phone | 617-355-6000 |
| Enumerated | December 8, 2021 |
| Last updated | June 23, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2307921 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.