Wall, Alyssa

Wall, Alyssa is an individual health care provider with primary practice located at 4075 Old Western Row Rd , Mason OH 45040-3104. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wall, Alyssa can be contacted via phone (513) 536-4673.

Contact Information

Primary practice address
4075 Old Western Row Rd Mason OH 45040-3104
Phone: (513) 536-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 219471 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 30113 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0031874 Ohio
Nursing Service Providers / Registered Nurse 163W00000X 511767 Ohio

Profile Details

NPI number 1972131878
LBN Legal business name Wall, Alyssa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2020
Last updated Oct 18th, 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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