Individual
ALYSSA DAWN ZANTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
424 YELLOWSTONE AVE STE 120, CODY, WY 82414-9311
(307) 578-2903
(307) 578-2937
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2000
(307) 578-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007768
MI
363A00000X
Physician Assistant
Primary
PA1004
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216670400
—
WY
Enumeration date
06/02/2016
Last updated
03/28/2024
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