Coughennower, Alyssa

Coughennower, Alyssa is an individual health care provider with primary practice located at 5408 Nw 88Th St Ste 140 , Johnston IA 50131-2953. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Coughennower, Alyssa can be contacted via phone (515) 212-3600.

Contact Information

Primary practice address
5408 Nw 88Th St Ste 140 Johnston IA 50131-2953
Phone: (515) 212-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2022012425 Iowa

Profile Details

NPI number 1346960978
LBN Legal business name Coughennower, Alyssa
Credentials ARNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2022
Last updated Oct 4th, 2022 - about 2 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 1346960978 NPPES
Iowa Other G169680 IBON ARNP LICENSE

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