Provider Demographics
NPI:1316071251
Name:FOLIN, ALYSSA MARGARET (CPM, LM)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:MARGARET
Last Name:FOLIN
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 GOODRICH AVE
Mailing Address - Street 2:#2
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105
Mailing Address - Country:US
Mailing Address - Phone:651-587-7029
Mailing Address - Fax:
Practice Address - Street 1:971 GOODRICH AVE
Practice Address - Street 2:#2
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-3165
Practice Address - Country:US
Practice Address - Phone:651-587-7029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1015175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay