Individual
ALYSSA ANN VACTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1103 FAIRINGTON DR, SIDNEY, OH 45365-8130
(937) 497-5561
Mailing address
1535 GRIMES AVE, URBANA, OH 43078-1013
(937) 507-1118
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0034380
OH
Other
Enumeration date
07/17/2023
Last updated
11/12/2024
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