Provider Demographics
NPI:1437837069
Name:TREMAYNE, ALISON MARIE
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:MARIE
Last Name:TREMAYNE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:BRENNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68702-0209
Mailing Address - Country:US
Mailing Address - Phone:712-899-1633
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 209
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68702-0209
Practice Address - Country:US
Practice Address - Phone:712-899-1633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NE3213363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program