Individual
ALYSSA AYA SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4820 RIVERBEND RD STE 100, BOULDER, CO 80301-2618
(303) 415-5399
(303) 297-5808
Mailing address
PO BOX 9049, BOULDER, CO 80301-9049
(303) 415-4101
(303) 415-4769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017020317
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DR.0072562
CO
207RP1001X
Pulmonary Disease Physician
Primary
DR.0072562
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
DR.0072562
CO
Other
Enumeration date
06/27/2017
Last updated
04/14/2026
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