IndividualActive
Alyssa Diver, PA-C
NPI 1639846983 · Medical Physician Assistant · Ellsworth, ME
Provider details
- NPI number
- 1639846983
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA2236 (ME)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
235 High St
Ellsworth, ME 04605-1715
Phone: (207) 412-5200
Approximate (ZIP-level) locationGet directions
Mailing address
360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Registry dates
- Enumerated
- 2021-08-25
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.