Provider Demographics
NPI:1699599183
Name:D'ALELIO, KARA ANGELA (FNP-BC)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:ANGELA
Last Name:D'ALELIO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CONVERSE ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-2716
Mailing Address - Country:US
Mailing Address - Phone:978-886-8534
Mailing Address - Fax:
Practice Address - Street 1:23 CONVERSE ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-2716
Practice Address - Country:US
Practice Address - Phone:978-886-8534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2306561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily