Provider Demographics
NPI:1003505348
Name:TREADWELL, ALLYSSA MARIE (MSN, CPNP-AC)
Entity Type:Individual
Prefix:MRS
First Name:ALLYSSA
Middle Name:MARIE
Last Name:TREADWELL
Suffix:
Gender:F
Credentials:MSN, CPNP-AC
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Mailing Address - Street 1:5236 CHEDWORTH DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3704
Mailing Address - Country:US
Mailing Address - Phone:813-245-6266
Mailing Address - Fax:
Practice Address - Street 1:10 DUKE MEDICINE CIR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-1000
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC273424163W00000X
NC5018037363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse