| NPI | 1720610355 |
|---|---|
| Former Name | ALYSSA ANN FAUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2016020031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020004281) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2025-07-31 |