Alyssa Digiovanna Bravin Cook, is a
Student In An Organized Health Care Education/training Program based in Provo, Utah. Alyssa Digiovanna Bravin Cook is licensed to practice in * (Not Available) (license number ) and her current practice location is
1800 Novell Pl, Provo, Utah. She can be reached at her office (for appointments etc.) via phone at
(512) 580-1375.
NPI number for Alyssa Digiovanna Bravin Cook is 1508556200 and her current mailing address is 335 S Oak Dr, Woodland Hills, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508556200.
Provider's Profile
Full Name | Alyssa Digiovanna Bravin Cook |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1800 Novell Pl, Provo, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508556200
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 05/08/2023
Medical Identifiers
Medical identifiers for Alyssa Digiovanna Bravin Cook such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508556200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Digiovanna Bravin Cook is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alyssa Digiovanna Bravin Cook, 335 S Oak Dr, Woodland Hills, UT 84653-2036 Ph: (617) 285-2211 | Alyssa Digiovanna Bravin Cook, 1800 Novell Pl, Provo, UT 84606-6101 Ph: (512) 580-1375 |
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