Provider Demographics
NPI:1396254058
Name:SCHURMAN, ALISON (DNP)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:
Last Name:SCHURMAN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:KUSYJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 MERCY CIRCLE DR
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056
Mailing Address - Country:US
Mailing Address - Phone:760-725-4357
Mailing Address - Fax:
Practice Address - Street 1:200 MERCY CIRCLE DR
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056
Practice Address - Country:US
Practice Address - Phone:760-725-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007188171000000X, 363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No171000000XOther Service ProvidersMilitary Health Care Provider
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95007188OtherCALIFORNIA FURNISHING NUMBER