Individual
ALYSSA NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
370 BASSETT RD, NORTH HAVEN, CT 06473-4201
(203) 582-7766
Mailing address
107 GREAT HILL RD, SEYMOUR, CT 06483-2232
(203) 906-6013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5875
CT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/22/2022
Last updated
02/06/2026
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