Provider Demographics
NPI:1508533308
Name:PISARSKI, ALYSSA KRISTINE (RN)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:KRISTINE
Last Name:PISARSKI
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 1:7604 SATINWING LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8315
Mailing Address - Country:US
Mailing Address - Phone:516-784-9380
Mailing Address - Fax:
Practice Address - Street 1:7604 SATINWING LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8315
Practice Address - Country:US
Practice Address - Phone:516-784-9380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC313379163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse