Provider Demographics
NPI:1972338408
Name:ALAS, BRENDA NATALI
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:NATALI
Last Name:ALAS
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 1:6916 WINEBERRY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4651
Mailing Address - Country:US
Mailing Address - Phone:702-587-1484
Mailing Address - Fax:
Practice Address - Street 1:6916 WINEBERRY DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4651
Practice Address - Country:US
Practice Address - Phone:702-587-1484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider