Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Irene Fredbo, PA-C

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1376226936

Alyssa Irene Fredbo, PA-C is a Physician Assistant in Salt Lake City, Utah. Graduated from Yale University School of Medicine in 2023, 3 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Trained at
Yale University School of Medicine
Licensed in
UT
In the registry since
2023
Specialties on file
2
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

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (651) 323-8334
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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 13455633-1206 (UT)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 13455633-1206 (UT)

Record details

NPI number1376226936
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 10, 2023
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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