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NPI Code Detail

MEDICARE: ALYSSA MAXWELL

MEDICARE: ALYSSA MAXWELL
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
1101Y00000XCounselor5280NE

General Provider Information

NPI Number : 1841617339
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA MAXWELL
Provider Business Mailing Address
First Line : 2633 P ST
Second Line :
City : LINCOLN
State : NE
Zip : 68503-3528
Country : US
Telephone Number : 402-475-5161
Fax Number :
Provider Business Practice Location Address
First Line : 2202 S 11TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68502-3559
Country : US
Telephone Number : 402-475-5161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 02/02/2024

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Directions to “ ALYSSA MAXWELL ” Practice Location

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