Individual
ALYSSA DECONTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Contact information
Practice address
1329 MISSION RD, KODIAK, AK 99615-6583
(202) 964-0278
(855) 794-0985
Mailing address
1329 MISSION RD, KODIAK, AK 99615-6583
(022) 964-0278
(855) 794-0985
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
125740
AK
367A00000X
Advanced Practice Midwife
Primary
125740
AK
Other
Enumeration date
09/05/2017
Last updated
09/15/2022
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