Individual provider · NPI-1

Alyssa N Acquaviva, PA-C

Physician Assistant · Pittsburgh, PA

NPI number1649743907
StatusActive
Last updated in NPPESJun 27, 2023

Details

NPI
1649743907
Entity type
Individual (NPI-1)
Name
Alyssa N Acquaviva
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2019
Certification date
Jun 27, 2023
Last updated
Jun 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantMA060350PAYes

Other names

  • Alyssa Mehlhorn (Other Name)

Practice location

1307 Federal St Ste 2
Pittsburgh, PA 15212-4769

Phone 877-660-6777 · Fax 412-359-8055

Mailing address

1307 Federal St Ste 2
Pittsburgh, PA 15212-4769

Phone 877-660-6777 · Fax 412-359-8055

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