Provider Demographics
NPI:1538601471
Name:GREENFIELD, ALISE M (ARNP)
Entity type:Individual
Prefix:
First Name:ALISE
Middle Name:M
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 ROCHESTER HILL RD STE C
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-1727
Mailing Address - Country:US
Mailing Address - Phone:603-498-2883
Mailing Address - Fax:
Practice Address - Street 1:169 ROCHESTER HILL RD STE C
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-1727
Practice Address - Country:US
Practice Address - Phone:603-498-2883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-09
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHFO21667363L00000X
NH064827-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner