Healthcare Provider Details
I. General information
NPI: 1932834298
Provider Name (Legal Business Name): ALYSSA MARI BEER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/20/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11140 MONTGOMERY RD STE 1100
CINCINNATI OH
45249-2309
US
IV. Provider business mailing address
11140 MONTGOMERY RD STE 1100
CINCINNATI OH
45249-2309
US
V. Phone/Fax
- Phone: 513-221-5500
- Fax: 513-221-1962
- Phone: 513-221-5500
- Fax: 513-221-1962
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | 50.010378 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: