Provider Demographics
NPI:1386380798
Name:ANAYA-ALVARADO, ALEXANDRIA MICHELLE
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:MICHELLE
Last Name:ANAYA-ALVARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-4019
Mailing Address - Country:US
Mailing Address - Phone:330-605-7548
Mailing Address - Fax:
Practice Address - Street 1:2016 BENNETT ST
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-4019
Practice Address - Country:US
Practice Address - Phone:330-605-7548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide