Barr, Alyssa Renee

Barr, Alyssa Renee is an individual health care provider with primary practice located at 2939 W Excursion Ln , Meridian ID 83642-5308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Barr, Alyssa Renee can be contacted via phone (208) 385-7711.

Contact Information

Primary practice address
2939 W Excursion Ln Meridian ID 83642-5308
Phone: (208) 385-7711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71015269A Indiana

Profile Details

NPI number 1588413553
LBN Legal business name Barr, Alyssa Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2024
Last updated Jun 15th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588413553 NPPES
Indiana Other 1104205390 ANTHEM PTAN
Indiana MEDICAID 300090928 ANTHEM PTAN

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