Individual
ALYSSA MARIE PAMENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2338 CITADEL WAY STE 105, MELBOURNE, FL 32940-6184
(321) 292-9063
Mailing address
2338 CITADEL WAY STE 105, MELBOURNE, FL 32940-6184
(321) 292-9063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
181289
WI
363L00000X
Nurse Practitioner
Primary
1215276993
FL
Other
Enumeration date
01/31/2013
Last updated
10/20/2021
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