Individual
MS. ALYSSA JANE WELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-6128
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MA055500
PA
208VP0014X
Interventional Pain Medicine Physician
OA002873
PA
363A00000X
Physician Assistant
MA055500
PA
363A00000X
Physician Assistant
OA002873
PA
Other
Enumeration date
08/09/2012
Last updated
03/05/2021
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