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DR. ALYSSA NICOLE FAIRSERVICE MD
NPI 1053929620
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since July 20, 2020
2400 W VILLARD AVE, MILWAUKEE, WI 53209(414) 527-8191 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alyssa Nicole Fairservice Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALYSSA NICOLE FAIRSERVICE MD (NPI 1053929620) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1053929620
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ALYSSA NICOLE FAIRSERVICECredential: MD
Location Address2400 W VILLARD AVEMilwaukee, WI 53209-4901
Mailing Address2400 W Villard AveMilwaukee, WI 53209-4901
Phone(414) 527-8191
Sole ProprietorNo
Enumeration DateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
✔ NPI 1053929620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
2400 W VILLARD AVE, Milwaukee, WI 53209
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAURA M GOTTSCHLICH DO
Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
MARY C MORRISON SOCIAL WORKER
Case Manager/Care Coordinator
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. CHUNG VAN DAO M.D.
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
BRYAN JOHNSTON
Family Medicine
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. SADAF DIDI JIWAN M.D.
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348
DR. ROBIN L HELM MD
Family Medicine
2400 W VILLARD AVE, WFHC GLENDALE FAMILY CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
DR. MAGGIE ELIZABETH WALSH MD
Student in an Organized Health Care Education/Training Program
2400 W VILLARD AVE
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8191
LAURA TORRICO BRUSKY M.D.
Family Medicine
2400 W VILLARD AVE, ALL SAINTS FAMILY CARE CENTER
MILWAUKEE, WI 53209
Milwaukee County (414) 527-8348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Fairservice's NPI number?

The NPI number for Alyssa Fairservice is 1053929620. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Alyssa Fairservice located?

Alyssa Fairservice practices at 2400 W Villard Ave, Milwaukee, WI 53209. The listed phone number is (414) 527-8191.

What is Alyssa Fairservice's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alyssa Fairservice was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.