Individual
DR. ALYSSA MARIE SOPRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
108 HEALTHCARE DR, LANCASTER, SC 29720-8037
(803) 286-9963
Mailing address
112 REDCOAT DR., CHARLOTTE, NC 28277
(704) 301-7562
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
21578
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053325076
—
SC
05
—
1366464497
—
SC
Enumeration date
02/19/2018
Last updated
02/19/2018
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