Healthcare Provider Details

I. General information

NPI: 1922584127
Provider Name (Legal Business Name): ALYSSA HAPPE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSSA NICOLE CHEVALIER

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 07/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2353 SE 14TH ST
DES MOINES IA
50320
US

IV. Provider business mailing address

1200 UNIVERSITY AVE STE 200
DES MOINES IA
50314-2355
US

V. Phone/Fax

Practice location:
  • Phone: 515-248-1400
  • Fax:
Mailing address:
  • Phone: 515-248-1447
  • Fax: 515-248-1440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA146570
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number146570
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: