| NPI | 1922880921 |
|---|---|
| Other Name | ALYSSA ROSE MCCORMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14519-33) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2025-12-30 |