Provider Demographics
NPI:1467193656
Name:BELL, ALYSSA CAITLYN (PA-C)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:CAITLYN
Last Name:BELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 EADS CT
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-6120
Mailing Address - Country:US
Mailing Address - Phone:636-278-0230
Mailing Address - Fax:
Practice Address - Street 1:1812 S MILDRED ST STE H
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98465-1634
Practice Address - Country:US
Practice Address - Phone:253-301-6975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant