Individual
ALYSON IDA PELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2501 LAKERIDGE DR STE 104A, NORFOLK, NE 68701-2558
(402) 204-0651
Mailing address
2501 LAKERIDGE DR STE 104A, NORFOLK, NE 68701-2558
(402) 204-0651
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
115107
NE
Other
Enumeration date
11/22/2023
Last updated
06/18/2026
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