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Alyssa Wichmann
Pediatric Nurse Practitioner in Springfield, Illinois
NPI 1891417283

Alyssa Wichmann is a Pediatric Nurse Practitioner based in Springfield, IL and is specialized in Pediatrics. Alyssa Wichmann practices in Springfield, IL. The NPI Number for Alyssa Wichmann is 1891417283 and holds a License No. 2022034477 (Illinois).

The current practice location address for Alyssa Wichmann is 400 N 9Th St, Springfield, IL and can be reached out via phone at 217-545-8000.

Location: 400 N 9Th St, Springfield, IL, 62794-9639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891417283
Provider Name
Alyssa Wichmann
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 N 9Th St, Springfield, IL, 62794-9639
Phone Number
217-545-8000
Fax Number
Provider Enumeration Date
09/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 N 9Th St
City
Springfield
State
Illinois
Zip
62702-5310
Phone Number
217-545-8000
Fax Number
person
Provider Business Mailing Address Details
Address
400 N 9Th St
City
Springfield
State
Illinois
Zip
62702-5310
Phone Number
217-545-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
2022034477 (Missouri)
Definition
Definition to come...
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