Individual provider · NPI-1

Alyssa Allen, RN

Nurse Practitioner, Family · Mesa, AZ

NPI number1053896902
StatusActive
Last updated in NPPESSep 9, 2019

Details

NPI
1053896902
Entity type
Individual (NPI-1)
Name
Alyssa Allen
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Sep 26, 2018
Last updated
Sep 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family232030AZYes
163W00000X Registered NurseRN190002AZ

Practice location

2711 N Linda Cir
Mesa, AZ 85213-1576

Phone 602-430-4187

Mailing address

2711 N Linda Cir
Mesa, AZ 85213-1576

Phone 602-430-4187

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