Individual
ALYSSA IANNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
46806 EDGEWATER DR, MACOMB, MI 48044-3596
(248) 259-7109
Mailing address
46806 EDGEWATER DR, MACOMB, MI 48044-3596
(248) 259-7109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704333909APP17
MI
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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