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Alyssa Rose Van Duzer

NPI Registration Record

Provider / OrganizationNPIDate Certified
ALYSSA ROSE VAN DUZER10137530782024-10-13

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 TypeIndividual
Provider Name Alyssa Rose Van Duzer PA-C
Practice Office Address1175 S COLLEGE MALL RD
BLOOMINGTON, IN US
Practice Office Telephone8123234301
Mailing AddressPO BOX 932958
CLEVELAND, OH 441930028 US
HPT Codes
CodePractice
License No
State
363A00000X PRIMARYAccess 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
OPI Codes
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