Provider Demographics
NPI:1548344567
Name:HASPEL-SIEGEL, ALYSSA S (FNP)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:S
Last Name:HASPEL-SIEGEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8125 N HAYDEN RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2463
Mailing Address - Country:US
Mailing Address - Phone:623-580-5800
Mailing Address - Fax:
Practice Address - Street 1:1515 E BETHANY HOME RD STE 120B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2495
Practice Address - Country:US
Practice Address - Phone:602-674-6260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1018363LA2200X
AZAP8749363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ617860Medicaid
AZ617860Medicaid