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NPI Code Detail

MEDICARE: ALYSSA SPINGOLA

MEDICARE: ALYSSA SPINGOLA
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
1363LP2300XPrimary Care Nurse PractitionerAP30006818WA

General Provider Information

NPI Number : 1386682979
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA SPINGOLA
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line : SUITE A
City : RENTON
State : WA
Zip : 98055-2908
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13451 SE 36TH ST
Second Line :
City : BELLEVUE
State : WA
Zip : 98006-1475
Country : US
Telephone Number : 425-562-1337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 06/10/2021

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Directions to “ ALYSSA SPINGOLA ” Practice Location

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