Provider Demographics
NPI:1063118503
Name:VILLEGAS, ALYSSA DENICE (NP)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:DENICE
Last Name:VILLEGAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 NORTH NINTH ST.
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1403
Mailing Address - Country:US
Mailing Address - Phone:610-439-1033
Mailing Address - Fax:
Practice Address - Street 1:29 N 9TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18101-1102
Practice Address - Country:US
Practice Address - Phone:610-439-1033
Practice Address - Fax:610-439-0502
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026889363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care