Provider Demographics
NPI:1851171953
Name:BARR, ALYSSA MARIA
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARIA
Last Name:BARR
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 1:6A ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-3104
Mailing Address - Country:US
Mailing Address - Phone:304-257-6160
Mailing Address - Fax:
Practice Address - Street 1:6A ORCHARD ST
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-3104
Practice Address - Country:US
Practice Address - Phone:304-257-6160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant