ALYSSA SHENYENG MOUALEE (NPI# 1578113932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578113932 |
| Entity Type | Individual |
| Full Name | ALYSSA SHENYENG MOUALEE |
| Credential | PA-C |
| Practice Address |
1239 Payne Ave Saint Paul MN 55130-3667 |
| Practice Telephone | 6512098350 |
| Mailing Telephone | 6512098350 |
| Mailing Fax Number | 6512098353 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
13248 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA | 1168141 | 01 |
| Street Address |
1239 PAYNE AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-3667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346302981 | St. Paul Family Medical Center | Clinic/Center | 1239 Payne Ave, Saint Paul, MN 55130 | 2006-12-13 |
| 1790327781 | Sivilai Vang | Nurse Practitioner | 1239 Payne Ave, Saint Paul, MN 55130-3667 | 2019-10-11 |
| 1275839805 | Bee Her | Pharmacist | 1239 Payne Ave, Suite 202, Saint Paul, MN 55130-3538 | 2011-01-29 |
| 1629374251 | Alliance Pharmacy Care Inc | Pharmacy | 1239 Payne Ave, Suite 202, Saint Paul, MN 55130-3538 | 2011-01-29 |
| 1982896395 | Minhchau Le Harms | Physician Assistant | 1239 Payne Ave, Saint Paul, MN 55130-3667 | 2007-08-10 |
| 1720296635 | Chiatuogu Ukaga | Nurse Practitioner | 1239 Payne Ave, Suite 200, Saint Paul, MN 55130-3538 | 2007-05-21 |
| 1720149347 | Phua Xiong | Family Medicine | 1239 Payne Ave, Saint Paul, MN 55130 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1003258690 | Jenny Rebecca Kluznik | Physician Assistant | 1619 Dayton Ave Ste 205, Saint Paul, MN 55104 | 2013-07-23 |
| 1538439534 | Meghan Eileen Goff | Physician Assistant | 212 7th St E, Apt 204, Saint Paul, MN 55101-2373 | 2012-01-06 |
| 1003899527 | Christopher Lawrence Kaye | Physician Assistant | 640 Jackson Street, Saint Paul, MN 55101 | 2005-11-29 |
| 1790338754 | Mikaela Pierson | Physician Assistant | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-07-18 |
| 1508425711 | Sopida N/a Wunder | Physician Assistant | 1983 Sloan Pl Ste 11, Saint Paul, MN 55117-2004 | 2019-06-11 |
| 1780159533 | Andrew Kenneth Gernand | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2595 | 2018-10-08 |
| 1205350204 | Soua Vang | Physician Assistant | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 | 2017-08-01 |
| 1588184634 | Katharine Elizabeth Boyd | Physician Assistant | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2017-06-20 |
| 1962936880 | Krista C Bauder | Physician Assistant | 1113 Sherman St, Saint Paul, NE 68873-1546 | 2017-04-18 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
Please comment or provide details below to improve the information on ALYSSA SHENYENG MOUALEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.