Provider Demographics
NPI:1962230235
Name:WOLFF, ALYSSA LEE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:LEE
Last Name:WOLFF
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:ALYSSA
Other - Middle Name:LEE
Other - Last Name:SCHULER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:50 NAFUS ST
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-2341
Mailing Address - Country:US
Mailing Address - Phone:570-332-5114
Mailing Address - Fax:
Practice Address - Street 1:50 NAFUS ST
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-2341
Practice Address - Country:US
Practice Address - Phone:570-332-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF11210060363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily