Koerber, Allyssa Nicole

Koerber, Allyssa Nicole is an individual health care provider with primary practice located at 3953 S Nova Rd Ste B , Port Orange FL 32127-4910. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Koerber, Allyssa Nicole can be contacted via phone (386) 788-4911.

Contact Information

Primary practice address
3953 S Nova Rd Ste B Port Orange FL 32127-4910
Phone: (386) 788-4911
Fax: (844) 388-6186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9115064 Florida

Profile Details

NPI number 1538782321
LBN Legal business name Koerber, Allyssa Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2020
Last updated Oct 27th, 2021 - about 4 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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