Individual
MRS. ALISSA BACHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13943 N 91ST AVE STE F, PEORIA, AZ 85381-3689
(623) 900-2929
Mailing address
13943 N 91ST AVE STE F101, PEORIA, AZ 85381-3689
(623) 900-2929
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN151176
AZ
363LF0000X
Family Nurse Practitioner
Primary
TEMP269108
AZ
Other
Enumeration date
11/17/2021
Last updated
02/08/2022
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