Provider Demographics
NPI:1336936483
Name:CHULADA, ALLISON N (APRN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:N
Last Name:CHULADA
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CONCORD RD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:NH
Mailing Address - Zip Code:03861-6628
Mailing Address - Country:US
Mailing Address - Phone:603-230-2433
Mailing Address - Fax:603-658-0938
Practice Address - Street 1:40 CONCORD RD UNIT 4
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:NH
Practice Address - Zip Code:03861-6628
Practice Address - Country:US
Practice Address - Phone:603-230-2433
Practice Address - Fax:603-658-0938
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH072204-23363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health