Phoummalayvane, Alyssah

Phoummalayvane, Alyssah is an individual health care provider with primary practice located at 326 Nichols Rd , Fitchburg MA 01420-1914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phoummalayvane, Alyssah can be contacted via phone (978) 878-8100.

Contact Information

Primary practice address
326 Nichols Rd Fitchburg MA 01420-1914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2310990 Massachusetts

Profile Details

NPI number 1932871258
LBN Legal business name Phoummalayvane, Alyssah
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2021
Last updated Oct 14th, 2021 - about 5 years 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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