Matuszak, Alyssa Rae

Matuszak, Alyssa Rae is an individual health care provider with primary practice located at 9000 W. Wisconsin Ave Ms 681, Milwaukee WI 53226. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Matuszak, Alyssa Rae can be contacted via phone (414) 266-3360.

Contact Information

Primary practice address
9000 W. Wisconsin Ave Ms 681 Milwaukee WI 53226
Phone: (414) 266-3360
Fax: (414) 266-3563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 179985 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 5928-33 Wisconsin

Profile Details

NPI number 1093114050
LBN Legal business name Matuszak, Alyssa Rae
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2014
Last updated Oct 2nd, 2015 - about 9 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 1093114050 NPPES
Wisconsin MEDICAID 1093114050

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