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NPI Code Detail

MEDICARE: ALISSA TRIYOES NP

MEDICARE:   ALISSA  TRIYOES  NP
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 Practitioner95025544CA
2363LA2200XAdult Health Nurse Practitioner95025544CA

General Provider Information

NPI Number : 1477237535
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA TRIYOES NP
Provider Business Mailing Address
First Line : 241 NEWPORT AVE APT 2
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5943
Country : US
Telephone Number : 909-908-4048
Fax Number :
Provider Business Practice Location Address
First Line : 241 NEWPORT AVE APT 2
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-5943
Country : US
Telephone Number : 909-908-4048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2023
Last Update Date : 06/09/2023

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