Provider Demographics
NPI:1861633901
Name:BURTON, ALYSSA KATHLEEN (MPA, PA-C)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:KATHLEEN
Last Name:BURTON
Suffix:
Gender:F
Credentials:MPA, PA-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9291 NAVAJO TRL
Mailing Address - Street 2:
Mailing Address - City:MORONGO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92256-9228
Mailing Address - Country:US
Mailing Address - Phone:760-902-6200
Mailing Address - Fax:
Practice Address - Street 1:57675 29 PALMS HWY
Practice Address - Street 2:SUITE 111
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-3098
Practice Address - Country:US
Practice Address - Phone:760-365-8500
Practice Address - Fax:760-365-8599
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA21830363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant