Alissa M Moen in Sioux Falls - Physician Assistant
Alissa M Moen - NPI 1073546156
Alissa M Moen is a Physician Assistant in Sioux Falls, South Dakota. Alissa M Moen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Alissa M Moen is 1073546156. The last update date is 2016-07-07.
Alissa M Moen's current location address is Po Box 5116, Sioux Falls, South Dakota. You can contact this provider via phone number 6053315890 and fax number 6053363974. The mailing address for Alissa M Moen is Po Box 5116, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alissa M Moen |
|---|---|
| Address | Po Box 5116, Sioux Falls, South Dakota |
| Phone Number | 6053315890 |
| Fax Number | 6053363974 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1073546156 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2016-07-07 |
Provider Mailing Address Detail
| Address | Po Box 5116 |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571175116 |
| Phone Number | 6053315890 |
| Fax Number | 6053363974 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 584 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00227328 | SD | RAILROAD MEDICARE | |
| 682750 | SD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Alissa M Moen?
The Alissa M Moen has been issued the NPI (National Provider Identifier) 1073546156 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Alissa M Moen is located?
The Alissa M Moen is situated at the following address: Po Box 5116, Sioux Falls, SD, 571175116.
What is the Alissa M Moen's area of specialization and corresponding taxonomy classification?
The Alissa M Moen's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When was the Alissa M Moen's 1073546156 issued?
The Alissa M Moen's 1073546156 was issued on 2006-07-09.
When was the information pertaining to Alissa M Moen most recently updated or revised?
The details related to Alissa M Moen, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-07.