Provider Demographics
NPI:1306164827
Name:DELL, ALISSA (FNP-C)
Entity type:Individual
Prefix:
First Name:ALISSA
Middle Name:
Last Name:DELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 GRAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4710
Mailing Address - Country:US
Mailing Address - Phone:970-440-8087
Mailing Address - Fax:
Practice Address - Street 1:1901 GRAND AVE STE 200
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4710
Practice Address - Country:US
Practice Address - Phone:970-440-8087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONP-5763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO022261OtherKAISER COMMERCIAL NUMBER
CO66186838Medicaid
CO66186838Medicaid