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Individual

ALYSSA MARIE NOOMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
740 S LIMESTONE STE B200, LEXINGTON, KY 40536-4644
(859) 257-3533
(859) 257-6024
Mailing address
1245 CENTERVILLE LN APT B, GARDNERVILLE, NV 89460-9726
(859) 707-9430

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
823076
NV
363LF0000X
Family Nurse Practitioner
Primary
3017510
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
820376
NV
Enumeration date
08/13/2020
Last updated
09/16/2022
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