Individual provider · Type 1 NPI
Alyssa Ann Maskell, AGPCNP-BC
Gerontology Nurse Practitioner · Los Angeles, CA
NPI number
1619642634
Active
Practice location
127 S San Vicente Blvd
Los Angeles, CA 90048-3311
Fax (310) 423-4646
Mailing address
4140 W 190th St
Torrance, CA 90504-5513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 95139717 (CA) |
| Nurse Practitioner | 363L00000X | 95018261 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95018261 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1619642634
Alyssa Ann Maskell, AGPCNP-BC's National Provider Identifier is 1619642634, issued on Aug 11, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 5, 2022.