Alys Brenna Dimercurio

Physician Assistant · Vallejo, CA

Individual Active NPI

NPI number 1215640255

Practice location

1310 Club Dr
Vallejo, CA 94592-1187
Phone
(707) 638-5809

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NPI record

NPI
1215640255
Entity type
Individual (Type 1)
Enumeration date
January 5, 2023
Last updated
January 5, 2023
Certified
January 4, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

About Alys Dimercurio

Alys Brenna Dimercurio is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1310 Club Dr, Vallejo, CA 94592-1187. The NPI number 1215640255 was assigned on January 5, 2023 and the record was last updated on January 5, 2023.

Frequently asked questions

What is the NPI number of Alys Brenna Dimercurio?

The NPI number is 1215640255.

What is the phone number of Alys Dimercurio?

The phone number listed for the practice location is (707) 638-5809.

Where is Alys Dimercurio located?

1310 Club Dr, Vallejo, CA 94592-1187.

What is the taxonomy code for Alys Dimercurio?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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