IndividualActive
Alissa Moen, PA-C
NPI 1073546156 · Physician Assistant · Tea, SD
Provider details
- NPI number
- 1073546156
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0584 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2120 Live Stronger St
Tea, SD 57064-8331
Phone: (605) 331-5890
Approximate (ZIP-level) locationGet directions
Mailing address
2120 Live Stronger St
Tea, SD 57064-8331
Registry dates
- Enumerated
- 2006-07-09
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.