Provider Demographics
NPI:1669048609
Name:MILANO, ALYSSE (PA-C)
Entity type:Individual
Prefix:
First Name:ALYSSE
Middle Name:
Last Name:MILANO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2603 RUHL RD
Mailing Address - Street 2:
Mailing Address - City:BRUSH
Mailing Address - State:CO
Mailing Address - Zip Code:80723-1304
Mailing Address - Country:US
Mailing Address - Phone:970-380-5581
Mailing Address - Fax:
Practice Address - Street 1:2603 RUHL RD
Practice Address - Street 2:
Practice Address - City:BRUSH
Practice Address - State:CO
Practice Address - Zip Code:80723-1304
Practice Address - Country:US
Practice Address - Phone:970-380-5581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-01
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty