Individual
ALYSSA NICOLE REZNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4815 LIBERTY AVE STE 252, PITTSBURGH, PA 15224-2156
(412) 235-5830
Mailing address
4815 LIBERTY AVE STE 252, PITTSBURGH, PA 15224-2156
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA064587
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16042748
CAQH
—
Enumeration date
06/07/2023
Last updated
11/24/2025
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