MISS ALISSA IERVESE
NPI 1063899292
Licensed Practical Nurse in Wading River, NY

Active since April 27, 2015
9 HIDDEN PHEASANT PATH, WADING RIVER, NY 11792(631) 316-9062 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Alissa Iervese NPPES

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

MISS ALISSA IERVESE (NPI 1063899292) is an individual licensed practical nurse in Wading River, New York, licensed in New York (315669-1) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1063899292
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS ALISSA IERVESE
Location Address9 HIDDEN PHEASANT PATHWading River, NY 11792-2163
Mailing Address9 Hidden Pheasant PathWading River, NY 11792-2163 · (631) 316-9062
Sole ProprietorNo
Enumeration DateApril 27, 2015
NPI 1063899292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 315669-1
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

9 HIDDEN PHEASANT PATH, Wading River, NY 11792

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063899292, enumerated as an "individual" on April 27, 2015.

The provider is located at 9 HIDDEN PHEASANT PATH WADING RIVER, NY 11792 and the phone number is (631) 316-9062.

Licensed Practical Nurse with taxonomy code 164W00000X.