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NPI Code Detail

MEDICARE: ALYSSA CISZEK

MEDICARE: ALYSSA CISZEK
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
1164X00000XLicensed Vocational Nurse353035TX

General Provider Information

NPI Number : 1790396026
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA CISZEK
Provider Business Mailing Address
First Line : 11607 PELLICANO DR APT 2107
Second Line :
City : EL PASO
State : TX
Zip : 79936-6623
Country : US
Telephone Number : 978-877-7465
Fax Number :
Provider Business Practice Location Address
First Line : 11607 PELLICANO DR APT 2107
Second Line :
City : EL PASO
State : TX
Zip : 79936-6623
Country : US
Telephone Number : 978-877-7465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2020
Last Update Date : 08/11/2020

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Directions to “ ALYSSA CISZEK ” Practice Location

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