Individual
MRS. ALYSSA BROOKE HEATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2515 GRAND PRAIRIE PKWY, WAUKEE, IA 50263-8979
(515) 644-9033
Mailing address
2515 GRAND PRAIRIE PKWY, WAUKEE, IA 50263-8979
(515) 644-9033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
092820
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092820
BUREAU OF PROFESSIONAL LICENSURE
IA
Enumeration date
07/17/2018
Last updated
01/21/2026
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