Provider Demographics
NPI:1992112015
Name:PIAMONTE, ALICIA P
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:P
Last Name:PIAMONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:P
Other - Last Name:PIAMONTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:5497 PLUMBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8656
Mailing Address - Country:US
Mailing Address - Phone:925-359-2476
Mailing Address - Fax:
Practice Address - Street 1:5497 PLUMBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8656
Practice Address - Country:US
Practice Address - Phone:925-359-2476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA470231163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse