| Doctor Name: | ALISSA VIGIL |
| NPI Number: | 1477924942 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN2291799 |
| Business Practice Address: | 5955 Zeamer Ave 673rd Mdg Jber, AK - 995063702 |
| Business Phone Number: | 9075805808 |
| Business Fax Number: | |
| Mailing Address: | 5955 Zeamer Ave, 673rd Mdg JBER |
| State: | AK |
| Postal Code: | 995063702 |
| Phone Number: | 9075805808 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2015 |
| NPI Last Update Date: | 10/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN2291799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |