Individual
ALYSSA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2711 N LINDA CIR, MESA, AZ 85213-1576
(602) 430-4187
Mailing address
2711 N LINDA CIR, MESA, AZ 85213-1576
(602) 430-4187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN190002
AZ
363LF0000X
Family Nurse Practitioner
Primary
232030
AZ
Other
Enumeration date
09/26/2018
Last updated
09/09/2019
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