Individual
ALYSSA ANN MASKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
127 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-3311
(310) 423-1160
(310) 423-4646
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-1160
(310) 423-4646
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
95139717
CA
363L00000X
Nurse Practitioner
95018261
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95018261
CA
Other
Enumeration date
08/11/2021
Last updated
07/05/2022
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