# ALYSSA L MACCA

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

## Provider details

- **NPI number:** 1346317047
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP9204843 | FL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 02/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01904 | UNIVERSAL | FL |
| 01 | — | 200731387 | TRICARE | FL |
| 05 | — | 269836600 | — | FL |
| 01 | — | 301304 | AVMED | FL |
| 01 | — | 37919Z | BCBS PROVIDER \# | FL |
| 01 | — | U7175X | MEDICARE PTAN | — |
| 01 | — | Y12VV | BCBS | FL |