Provider Demographics
NPI:1356668685
Name:MINGER, ALISSA RENEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:RENEE
Last Name:MINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4007 NW FIELDING TER
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66618-2674
Mailing Address - Country:US
Mailing Address - Phone:785-246-3217
Mailing Address - Fax:
Practice Address - Street 1:4007 NW FIELDING TER
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66618-2674
Practice Address - Country:US
Practice Address - Phone:785-246-3217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1387158071171M00000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management