Provider Demographics
NPI:1548832777
Name:RIZZIO, ALYSSA (APNP, RN)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:RIZZIO
Suffix:
Gender:F
Credentials:APNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W243N6574 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-2927
Mailing Address - Country:US
Mailing Address - Phone:262-825-3048
Mailing Address - Fax:
Practice Address - Street 1:W243N6574 OXFORD DR
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-2927
Practice Address - Country:US
Practice Address - Phone:262-825-3048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI247378163W00000X
WI13903-33363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209.031432OtherILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
WI1390333OtherDSPS
IL041.579785OtherILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
WI247378OtherRN LICENSE
202325236OtherPEDIATRIC NURSING CERTIFICATION BOARD