Individual
ALYSSA RAYE CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601-1171
(574) 647-5300
(574) 647-5305
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300062949
—
IN
Enumeration date
01/25/2022
Last updated
04/28/2023
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