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NPI Code Detail

MEDICARE: ALYSE MULLON TUMELSON APRN, FNP-C

MEDICARE: ALYSE MULLON TUMELSON APRN, FNP-C
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
1363L00000XNurse Practitioner2025008235MO
2363L00000XNurse PractitionerC-APN.0102392-C-NPCO
3363L00000XNurse Practitioner289332AZ
4363L00000XNurse PractitionerAP61537410WA
5363L00000XNurse Practitioner10034573OR
6363L00000XNurse PractitionerAP142723TX
7363L00000XNurse PractitionerAPRN-5793HI

General Provider Information

NPI Number : 1386291912
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSE MULLON TUMELSON APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 1220 MAIN ST STE 400
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-2963
Country : US
Telephone Number : 713-597-5114
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2019
Last Update Date : 03/12/2026

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