Provider Demographics
NPI:1588323901
Name:HASTINGS, ALEXANDRIA DEANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRIA
Middle Name:DEANN
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ALEXANDRIA
Other - Middle Name:DEANN
Other - Last Name:CHMURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1470 MEDICAL PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4636
Mailing Address - Country:US
Mailing Address - Phone:775-445-7650
Mailing Address - Fax:
Practice Address - Street 1:1470 MEDICAL PKWY STE 160
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4636
Practice Address - Country:US
Practice Address - Phone:775-445-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV846781363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily