Individual
ALYSSA SEBASTIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 S ATHERTON ST STE 2, STATE COLLEGE, PA 16801-8324
(814) 278-4631
(814) 278-4685
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 278-4631
(814) 278-4685
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016454
PA
363LF0000X
Family Nurse Practitioner
SP016454
PA
Other
Enumeration date
09/01/2016
Last updated
04/09/2024
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