Individual
ALYSSA EMILY LEWELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6611 W BELL RD, GLENDALE, AZ 85308-3607
(000) 000-0000
Mailing address
7952 N 43RD AVE, GLENDALE, AZ 85301-1662
(623) 465-6330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP11431
AZ
Other
Enumeration date
07/06/2018
Last updated
12/30/2021
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