Provider Demographics
NPI:1093220279
Name:PANJWANI, ALYSSA RUTH (CD, CPPD, SBD)
Entity Type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:RUTH
Last Name:PANJWANI
Suffix:
Gender:F
Credentials:CD, CPPD, SBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 PINEACRE DR
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4036
Mailing Address - Country:US
Mailing Address - Phone:563-468-8285
Mailing Address - Fax:
Practice Address - Street 1:1208 PINEACRE DR
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-4036
Practice Address - Country:US
Practice Address - Phone:563-468-8285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-09
Last Update Date:2017-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula