Provider Demographics
NPI:1235984972
Name:VELANDER, ALYSSA TAYLOR
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:TAYLOR
Last Name:VELANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11422 PIPPIN RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1246
Mailing Address - Country:US
Mailing Address - Phone:513-252-5229
Mailing Address - Fax:
Practice Address - Street 1:11422 PIPPIN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1246
Practice Address - Country:US
Practice Address - Phone:513-252-5229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider