Individual
MRS. ALISA SARAH EYTCHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8100
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 238-8100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
149
MN
363LF0000X
Family Nurse Practitioner
R-196236-7
MN
Other
Enumeration date
06/12/2014
Last updated
11/08/2024
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