# ALYSSA MARTIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043707276
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | OA004442 | PA | — |
| 363A00000X | Physician Assistant | PA70063091 | WA | Yes |
| 363AM0700X | Medical Physician Assistant | 25MP00504000 | NJ | — |
| 363AM0700X | Medical Physician Assistant | C110000025 | DE | — |
| 363AM0700X | Medical Physician Assistant | MA059701 | PA | — |

## Other

- **Enumeration date:** 04/13/2018
- **Last updated:** 01/15/2026