IndividualActive
Alyssa Fairchild, CPNP-PC
NPI 1720610355 · Pediatric Nurse Practitioner · O Fallon, MO
Provider details
- NPI number
- 1720610355
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 2020004281 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
300 Winding Woods Dr Ste 120
O Fallon, MO 63366-4772
Phone: (636) 978-7902
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776084
Chicago, IL 60677-6084
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.