Provider Demographics
NPI:1932597440
Name:MALIZZI, ALISON M (RN, NP)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:M
Last Name:MALIZZI
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 113
Mailing Address - Street 2:
Mailing Address - City:GEIGERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19523-0113
Mailing Address - Country:US
Mailing Address - Phone:424-415-0098
Mailing Address - Fax:
Practice Address - Street 1:2333 MCCALLIE AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-3258
Practice Address - Country:US
Practice Address - Phone:424-415-0098
Practice Address - Fax:424-999-0369
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008141363L00000X, 363LC0200X
TN36898207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine