Provider Demographics
NPI:1023112703
Name:ALACH, ELIZABETH BISHOP (AP RN BC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:BISHOP
Last Name:ALACH
Suffix:
Gender:F
Credentials:AP RN BC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:CHENEY
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:50 OLIVER ST
Mailing Address - Street 2:SUITE W1A
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1446
Mailing Address - Country:US
Mailing Address - Phone:508-230-1732
Mailing Address - Fax:508-230-1732
Practice Address - Street 1:50 OLIVER ST
Practice Address - Street 2:SUITE W1A
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1446
Practice Address - Country:US
Practice Address - Phone:508-230-1732
Practice Address - Fax:508-230-1732
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA166142364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA255656OtherCOMP PSYCH
MATUFTSOther410125
MACBH217103OtherCIGNA
MAPN0692OtherBC BS
MA8666-01OtherPACIFIC CARE
MAMA0597673LOtherDPH
MAMA0597673LOtherDPH
MA8666-01OtherPACIFIC CARE
MAAL-NS0771Medicare ID - Type UnspecifiedCNS