Provider Demographics
NPI:1881314250
Name:SKOWRONEK, ALYSSA (CRNP)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:SKOWRONEK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:MUCHONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:405 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:PERRYOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15473-1830
Mailing Address - Country:US
Mailing Address - Phone:724-736-0443
Mailing Address - Fax:
Practice Address - Street 1:405 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:PERRYOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15473-1830
Practice Address - Country:US
Practice Address - Phone:724-736-0443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily