Individual
ALYSSA HYDUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014-2465
(540) 982-8204
(540) 224-1059
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110011651
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/09/2025
Last updated
03/13/2026
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