Individual provider · Type 1 NPI

Alyssa Kayle Derrick, L.M.P.

Specialist · Mukilteo, WA

NPI number 1306116736 Active

Practice location

4803 84th St SW
Mukilteo, WA 98275-3023

Mailing address

5521 186th Pl SW
Lynnwood, WA 98037-4325

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA60253192 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1306116736

Alyssa Kayle Derrick, L.M.P.'s National Provider Identifier is 1306116736, issued on Jan 2, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Mukilteo, WA. The record was last updated on Jan 2, 2012.