MEDICARE: ALYSSA BATTLE FNP-BC

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	363L00000X	Nurse Practitioner	4704300045	MI
2	363LF0000X	Family Nurse Practitioner	4704300045	MI

General Provider Information

NPI Number	:	1396443891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA BATTLE FNP-BC

Provider Business Mailing Address
First Line	:	3860 S STRAITS HWY
Second Line	:
City	:	INDIAN RIVER
State	:	MI
Zip	:	49749-5146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8881 M 119
Second Line	:
City	:	HARBOR SPRINGS
State	:	MI
Zip	:	49740-9816
Country	:	US
Telephone Number	:	231-347-5400
Fax Number	:

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

Provider Enumeration Date	:	02/23/2023
Last Update Date	:	05/20/2025

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Directions to “ ALYSSA BATTLE FNP-BC” Practice Location

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