Provider Demographics
NPI:1194142331
Name:TOUGH, ALYSSA (MSN, RN, CPNP)
Entity type:Individual
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First Name:ALYSSA
Middle Name:
Last Name:TOUGH
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Gender:F
Credentials:MSN, RN, CPNP
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7200 WYOMING SPGS
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4303
Mailing Address - Country:US
Mailing Address - Phone:512-244-5959
Mailing Address - Fax:512-244-1156
Practice Address - Street 1:7200 WYOMING SPGS
Practice Address - Street 2:SUITE 200
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4303
Practice Address - Country:US
Practice Address - Phone:512-244-5959
Practice Address - Fax:512-244-1156
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX717717363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics