| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALYSSA ROSE VAN DUZER | 1013753078 | 2024-10-13 |
Alyssa Rose Van Duzer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1013753078. Registration indicates Alyssa Rose Van Duzer is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Alyssa Rose Van Duzer PA-C |
| Practice Office Address | 1175 S COLLEGE MALL RD BLOOMINGTON, IN US |
| Practice Office Telephone | 8123234301 |
| Mailing Address | PO BOX 932958 CLEVELAND, OH 441930028 US |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 10004584A
IN |