Provider Demographics
NPI:1013732239
Name:DAL PRA, ALYSSA MARIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARIE
Last Name:DAL PRA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 S LAPEER RD STE D
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-6509
Mailing Address - Country:US
Mailing Address - Phone:586-596-8917
Mailing Address - Fax:248-278-4876
Practice Address - Street 1:605 S LAPEER RD STE D
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6509
Practice Address - Country:US
Practice Address - Phone:248-274-6066
Practice Address - Fax:248-278-4876
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704345699363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily