Provider Demographics
NPI:1811144249
Name:VOELKERDING, ALYSSA MARIE (MSN/PNP)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MARIE
Last Name:VOELKERDING
Suffix:
Gender:F
Credentials:MSN/PNP
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:MARIE
Other - Last Name:BUETER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN/PNP
Mailing Address - Street 1:6949 GOOD SAMARITAN DR STE 220
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-5205
Mailing Address - Country:US
Mailing Address - Phone:513-246-8900
Mailing Address - Fax:513-353-0160
Practice Address - Street 1:6949 GOOD SAMARITAN DR STE 220
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-5205
Practice Address - Country:US
Practice Address - Phone:513-246-8900
Practice Address - Fax:513-353-0160
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP 10144363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2969140Medicaid
OH2969140Medicaid