Individual provider · Type 1 NPI

Alyssa Viddal

Student in an Organized Health Care Education/Training Program · Queen Creek, AZ

NPI number 1639075260 Active

Practice location

797 W Lark Dr
Queen Creek, AZ 85140-3885

Call (480) 343-7711 Map

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 1639075260

Alyssa Viddal's National Provider Identifier is 1639075260, issued on Oct 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Queen Creek, AZ. The record was last updated on Oct 19, 2026.