Provider Demographics
NPI:1467218479
Name:HOLCOMBE, ALYSSA (DNP, APNP, AGACNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:HOLCOMBE
Suffix:
Gender:F
Credentials:DNP, APNP, AGACNP-BC
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:GEHRKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APNP, AGACNP-BC
Mailing Address - Street 1:4119 SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546-2016
Mailing Address - Country:US
Mailing Address - Phone:608-921-6110
Mailing Address - Fax:
Practice Address - Street 1:557 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2907
Practice Address - Country:US
Practice Address - Phone:608-754-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14738-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner