Healthcare Provider Details

I. General information

NPI: 1922954486
Provider Name (Legal Business Name): ALYSSA MAY BINNER LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 NICOLE LN APT 1
RIVER FALLS WI
54022-3471
US

IV. Provider business mailing address

317 NICOLE LN APT 1
RIVER FALLS WI
54022-3471
US

V. Phone/Fax

Practice location:
  • Phone: 507-226-7330
  • Fax:
Mailing address:
  • Phone: 507-226-7330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number33421631
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: