Coffey, Alyssa Lynn

Coffey, Alyssa Lynn is an individual health care provider with primary practice located at 210 E Olin Ave , Madison WI 53713-1434. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Coffey, Alyssa Lynn can be contacted via phone (608) 807-1428.

Contact Information

Primary practice address
210 E Olin Ave Madison WI 53713-1434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 233324 Wisconsin

Profile Details

NPI number 1942791512
LBN Legal business name Coffey, Alyssa Lynn
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2018
Last updated May 19th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942791512 NPPES
Wisconsin Other 233324 WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

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