Provider Demographics
NPI:1689092132
Name:VERHEYEN, ALYSSA RYANNE GODDARD (FNP)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:RYANNE GODDARD
Last Name:VERHEYEN
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 1:3731 IRISH DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-6638
Mailing Address - Country:US
Mailing Address - Phone:319-206-7370
Mailing Address - Fax:319-206-7380
Practice Address - Street 1:3731 IRISH DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-6638
Practice Address - Country:US
Practice Address - Phone:319-206-7370
Practice Address - Fax:319-206-7380
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA151081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily