Provider Demographics
NPI:1770345456
Name:BOWER, ALYSSA (PA-C)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:BOWER
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Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1300 WILKES RIDGE DR # 200
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7963
Mailing Address - Country:US
Mailing Address - Phone:804-326-4448
Mailing Address - Fax:309-326-4947
Practice Address - Street 1:1300 WILKES RIDGE DR
Practice Address - Street 2:200
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233
Practice Address - Country:US
Practice Address - Phone:804-326-4448
Practice Address - Fax:309-326-4947
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2025-11-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant