Individual provider · Type 1 NPI
Alyssa Isabel Fallon
Family Nurse Practitioner · San Diego, CA
NPI number
1104617992
Active
Practice location
3111 Camino Del Rio N Ste 400
San Diego, CA 92108-5724
Mailing address
4700 Exchange Ct Ste 110
Boca Raton, FL 33431-4450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 133051654405 (UT) |
| Family Nurse Practitioner Primary | 363LF0000X | 95039076 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104617992
Alyssa Isabel Fallon's National Provider Identifier is 1104617992, issued on May 13, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Nov 2, 2026.