Individual
ALYSA JESICA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
RIVERVIEW PEDIATRICS, 315 2ND AVE, TROY, NY 12182
(518) 235-6181
(518) 235-4323
Mailing address
6 WILSHIRE DR, DELMAR, NY 12054-3915
(518) 495-8429
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383137-01
NY
Other
Enumeration date
08/31/2020
Last updated
09/28/2020
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