Individual
ALYSSA MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6707 N 19TH AVE, PHOENIX, AZ 85015-1104
(602) 693-1183
Mailing address
4388 E RENEE DR, PHOENIX, AZ 85050-4308
(928) 301-9603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
256283
AZ
363LG0600X
Gerontology Nurse Practitioner
256283
AZ
363LP2300X
Primary Care Nurse Practitioner
256283
AZ
Other
Enumeration date
04/10/2021
Last updated
01/18/2026
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