Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALYSSA J PROVAGNA, MD
Active Sole ProprietorDR. ALYSSA J PROVAGNA, MD is a Obstetrics & Gynecology healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1578024527 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1578024527
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2019 (7.4068135311377 yrs)
- Last Updated
- Jul 28, 2023
- Licenses
-
010127064 (VA)0101270674 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4430 MISSOURI AVEFORT LEONARD WOOD, MO, 654739098Browse MO providers · Browse ZIP 65473
- Phone
- 5735961770
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| BENJAMIN DAVID CRUMLEY | DO | 1043841489 |
| KENDAL ROSALIK | DO | 1942834866 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.