MEDICARE: ALLYSSA RAKEL MUSZYNSKI

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
1	163W00000X	Registered Nurse	251080	AZ
2	390200000X	Student in an Organized Health Care Education/Training Program		AZ

General Provider Information

NPI Number	:	1093678856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSSA RAKEL MUSZYNSKI

Provider Business Mailing Address
First Line	:	31684 N RED ROCK TRL
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-6340
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	31684 N RED ROCK TRL
Second Line	:
City	:	SAN TAN VALLEY
State	:	AZ
Zip	:	85143-6340
Country	:	US
Telephone Number	:	901-692-2279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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