Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alysa Blum, PA-C

Individual provider Physician Assistant · NPI 1093140816

Alysa Blum, PA-C is a Physician Assistant in Waukesha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

615 W Moreland Blvd
Waukesha, WI 53188-2462
Phone: (262) 896-8420
Fax: (262) 896-8521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3150-23 (WI)

Record details

NPI number1093140816
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2013
Last updated in NPPESMarch 7, 2023

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