Individual
ALYSSA LYNN FELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 935-8802
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28225622A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014839A
IN
Other
Enumeration date
09/06/2023
Last updated
01/30/2024
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