Alyssa Allard

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Winona, MN

NPI 1962903823 · NPPES record last updated Feb 27, 2018

Key facts

NPI
1962903823
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
175 W Mark St
Winona, MN 55987-3384
Phone
(507) 457-2601
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

175 W Mark St
Winona, MN 55987-3384

Mailing address

W5563 Deer Park Dr
New Lisbon, WI 53950-9649
Phone (608) 567-8857

Other providers in Winona, MN

All providers in Winona, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.