Healthcare Provider Details

I. General information

NPI: 1316782022
Provider Name (Legal Business Name): ALYSSA ANN NIXON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSSA ANN WERNETH RN

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 E ALISAL ST
SALINAS CA
93905-2516
US

IV. Provider business mailing address

1485 TUNISIA RD
SEASIDE CA
93955-7427
US

V. Phone/Fax

Practice location:
  • Phone: 831-769-8800
  • Fax:
Mailing address:
  • Phone: 850-316-7758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number834232
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: