Doctor Name: | ALISSA A SCHEPANSKI |
NPI Number: | 1962481622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | 000979 |
Business Practice Address: | 1791 Highway 64 E Anamosa, IA - 522052112 |
Business Phone Number: | 3194623571 |
Business Fax Number: | 3194626043 |
Mailing Address: | 1791 Highway 64 E, ANAMOSA |
State: | IA |
Postal Code: | 522052112 |
Phone Number: | 3194623571 |
Fax Number: | 3194626043 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 000979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |