Individual provider · Type 1 NPI

Alanna M. Basquiat

Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI number 1154032852 Active

Practice location

680 Centre St
Brockton, MA 02302-3308

Fax (508) 941-6334

Mailing address

18 Washburn St Apt 2
Dorchester, MA 02125-4744

Other practice locations

  • 360 Huntington Ave, Boston, MA 02115-5000 · (617) 373-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA100257 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154032852

Alanna M. Basquiat's National Provider Identifier is 1154032852, issued on Dec 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brockton, MA. The record was last updated on Aug 6, 2026.