Alyssa Fedderly
Student in an Organized Health Care Education/Training Program in Batavia, IL. Individual provider (NPI-1).
NPI number1245142181
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1245142181
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Fedderly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2026
- Certification date
- Sep 11, 2026
- Last updated
- Sep 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | WI | Yes |
Practice location
1209 Newton AveBatavia, IL 60510-4534
Phone 630-229-3124
Mailing address
1209 Newton AveBatavia, IL 60510-4534
Phone 630-229-3124
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