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

Alyssa Diaz

Individual provider Medical Physician Assistant · NPI 1467380972

Alyssa Diaz is a Medical Physician Assistant in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

6800 State Route 162
Maryville, IL 62062-8521
Phone: (618) 288-5711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (IL)

Record details

NPI number1467380972
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address1050 Wishard Blvd, Indianapolis, IN 46202-2872

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