Individual
ALYSSA FRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5111
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
744557-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
744557
NY
Other
Enumeration date
04/12/2023
Last updated
06/26/2023
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