Individual
ALYSSA SHENYENG MOUALEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2104 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN 55433-3046
(763) 537-6000
(763) 537-6666
Mailing address
2104 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN 55433-3046
(763) 537-6000
(763) 537-6666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13248
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1168141
NCCPA
—
Enumeration date
09/18/2019
Last updated
11/19/2025
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