Doctor Name: | ALYSSA SPINGOLA |
NPI Number: | 1386682979 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AP30006818 |
Business Practice Address: | 4424 S 188th St Bldng#900 West Door Seatac, WA - 981885028 |
Business Phone Number: | 2064447746 |
Business Fax Number: | |
Mailing Address: | 955 Powell Ave Sw, Suite A RENTON |
State: | WA |
Postal Code: | 980552908 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | AP30006818 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |