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NPI Code Detail

MEDICARE: ALYSSA HEMMEN

MEDICARE: ALYSSA HEMMEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse13-150045-011KS

General Provider Information

NPI Number : 1780541771
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA HEMMEN
Provider Business Mailing Address
First Line : 11230 ELEMIS DR
Second Line :
City : DAPHNE
State : AL
Zip : 36526-7293
Country : US
Telephone Number : 316-621-0315
Fax Number :
Provider Business Practice Location Address
First Line : 7301 N 16TH ST STE 102
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-5266
Country : US
Telephone Number : 480-420-4027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ ALYSSA HEMMEN ” Practice Location

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