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Individual

ALYSSA LYN BIRMINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP- C

Contact information

Practice address
3623 CROSSINGS DR STE 206, PRESCOTT, AZ 86305-7101
(866) 849-0692
Mailing address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP70008997
WA
363LF0000X
Family Nurse Practitioner
APRN11041001
FL
363LF0000X
Family Nurse Practitioner
C-APN.0104503-C-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
RNP-256049
AZ

Other

Enumeration date
04/07/2021
Last updated
03/19/2026
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