Provider Demographics
NPI:1548981061
Name:PARTIN, ALISON PAULA (RN, LMBT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:PAULA
Last Name:PARTIN
Suffix:
Gender:F
Credentials:RN, LMBT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:PAULA
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, LMBT
Mailing Address - Street 1:7741 ARBORETUM DR APT 202
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-0375
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1140 SAM NEWELL RD STE B
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5066
Practice Address - Country:US
Practice Address - Phone:980-216-4547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC302271163W00000X
NC13624225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No163W00000XNursing Service ProvidersRegistered Nurse