Provider Demographics
NPI:1750024980
Name:BARROWS, ALYSSA DAWN
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:DAWN
Last Name:BARROWS
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 1:765 FLORAL CT APT A
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-1087
Mailing Address - Country:US
Mailing Address - Phone:567-241-6280
Mailing Address - Fax:
Practice Address - Street 1:765 FLORAL CT APT A
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-1087
Practice Address - Country:US
Practice Address - Phone:567-241-6280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker