Provider Demographics
NPI:1992258834
Name:FLEMING, ALISHA
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:FLEMING
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 1:708 HACKBERRY CT
Mailing Address - Street 2:APT 3008
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2028
Mailing Address - Country:US
Mailing Address - Phone:402-618-8037
Mailing Address - Fax:
Practice Address - Street 1:708 HACKBERRY CT
Practice Address - Street 2:APT 3008
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2028
Practice Address - Country:US
Practice Address - Phone:402-618-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE120117376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE120117OtherCNA LICENCE