ALISSA S VENTURA, PA-C, Surgical MAPLE GROVE, MN

Contact Information

ALISSA S VENTURA, PA-C

9825 HOSPITAL DR STE 105
MAPLE GROVE, MN 55369-4769

Phone: 763-780-6699
Fax: 763-420-0500
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for ALISSA S VENTURA · (Female)

NPI Number	`1740255835`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	02/22/2006
Last updated	12/04/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	MN License # 9911 MN Medicaid 078475300
Hospital affiliation(s)	MAPLE GROVE HOSPITAL - (Acute Care) 9875 HOSPITAL DRIVE MAPLE GROVE, MN 55369

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ALISSA S VENTURA, PA-C – NPI #1740255835Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for ALISSA S VENTURA · (Female)

Reviews for ALISSA S VENTURA

ALISSA S VENTURA, PA-C – NPI #1740255835
Surgical