Individual provider · Type 1 NPI

Alyssa Riley Petruski, BS

Student in an Organized Health Care Education/Training Program · Morristown, TN

NPI number 1194500728 Active · reactivated Jan 16, 2025

Practice location

310 W 3rd North St
Morristown, TN 37814-4038

Call (423) 581-4761 Map

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194500728

Alyssa Riley Petruski, BS's National Provider Identifier is 1194500728, issued on Aug 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morristown, TN. The record was last updated on Jul 14, 2025.