Provider Demographics
NPI:1083344030
Name:DUNCAN, ALYCIA IRENE (DNP)
Entity Type:Individual
Prefix:
First Name:ALYCIA
Middle Name:IRENE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ALYCIA
Other - Middle Name:IRENE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1303 N MAIN ST STE E
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-9746
Mailing Address - Country:US
Mailing Address - Phone:435-463-8464
Mailing Address - Fax:
Practice Address - Street 1:1303 N MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9746
Practice Address - Country:US
Practice Address - Phone:435-463-8464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT92566873102163W00000X
UT9256687-4405363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse