Individual provider · NPI-1
Alissa Kathleen Desantis, MSN, RN
Registered Nurse, General Practice · Norwood, MA
NPI number1740909167
StatusActive
Last updated in NPPESMay 22, 2025
Details
- NPI
- 1740909167
- Entity type
- Individual (NPI-1)
- Name
- Ms. Alissa Kathleen Desantis
- Credential
- MSN, RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- May 22, 2025
- Last updated
- May 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN2284658 | MA | Yes |
Practice location
1 Moderna WayNorwood, MA 02062-1556
Phone 508-631-0945
Mailing address
222 School St Apt 6Walpole, MA 02081-2819
Phone 508-631-0945
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.