Organization
ALIVIA INTEGRATIVE WOMEN'S HEALTH & MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYSSA MARIE DECONTO CNM (OWNER, CLINICIAN)
(503) 953-5174
Entity
Organization
Contact information
Practice address
202 CENTER AVE STE 206, KODIAK, AK 99615-7307
(202) 964-0278
(855) 794-0985
Mailing address
202 CENTER AVE STE 206, KODIAK, AK 99615-7307
(202) 964-0278
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
363L00000X
Nurse Practitioner
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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