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Individual
ALYSSA LYNAE DOCTOR
Active
Individual
ALYSSA LYNAE DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0073642
DE
163W00000X
Registered Nurse
RN664684
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
LP-0010763
DE
363LA2200X
Adult Health Nurse Practitioner
SP028646
PA
363LG0600X
Gerontology Nurse Practitioner
LP-0010763
DE
Other
Enumeration date
04/17/2024
Last updated
07/10/2024
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