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Alysa Jesica Evans, NP

Nurse Practitioner, Pediatrics in Troy, NY. Individual provider (NPI-1).

NPI number1164035937
StatusActive
Last updated in NPPESSep 28, 2020

Details

NPI
1164035937
Entity type
Individual (NPI-1)
Name
Alysa Jesica Evans
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2020
Certification date
Sep 27, 2020
Last updated
Sep 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsF383137-01NYYes

Practice location

Riverview Pediatrics
315 2nd Ave
Troy, NY 12182

Phone 518-235-6181 · Fax 518-235-4323

Mailing address

6 Wilshire Dr
Delmar, NY 12054-3915

Phone 518-495-8429

Other practice locations

6 Wilshire Dr
Delmar, NY 12054-3915

Phone 518-495-8429

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