- Practice location
- 235 High St, Ellsworth, ME 04605-1715
- Phone
- 207-412-5200
- Fax
- —
- Last updated
- November 15, 2023
Alyssa Joy Diver is a Physician Assistant, Medical based in Ellsworth, ME. Alyssa Joy Diver practices in Ellsworth, ME and has the professional credentials of PA-C. The NPI Number for Alyssa Joy Diver is 1639846983 and holds a License No. PA2236 (ME). The current practice location address for Alyssa Joy Diver is 235 High St, Ellsworth, ME 04605-1715 and can be reached out via phone at 207-412-5200.
Provider Profile Details
- NPI Number
- 1639846983
- Provider Name
- Alyssa Joy Diver
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 235 High St, Ellsworth, ME 04605-1715
- Phone Number
- 207-412-5200
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 25, 2021
- Last Update Date
- November 15, 2023
- Certification Date
- November 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 235 High St
Ellsworth, ME 04605-1715 - City
- Ellsworth
- State
- Maine
- Zip
- 04605-1715
- Phone Number
- 207-412-5200
Provider Business Mailing Address Details
- Address
- 360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105 - City
- Portsmouth
- State
- NH
- Zip
- 03801-7105
- Phone Number
- 603-410-6700
- Fax Number
- 603-319-8308
License Information
- License Number
- PA2236
- License State
- ME
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Ellsworth, ME
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Frequently Asked Questions
What is the NPI number of Alyssa J Diver, PA-C?
The NPI number of Alyssa J Diver, PA-C is 1639846983. It was assigned on August 25, 2021 and is currently active in the NPPES registry.
What is the specialty of Alyssa J Diver, PA-C?
Alyssa J Diver, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in ME under license number PA2236.
Where does Alyssa J Diver, PA-C practice?
The practice location is 235 High St, Ellsworth, ME 04605-1715. The office can be reached at 207-412-5200 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639846983 directly on the NPPES registry website.