Provider Demographics
NPI:1316406804
Name:ACHILLE, ALANA ARLENE (LVN)
Entity Type:Individual
Prefix:MS
First Name:ALANA
Middle Name:ARLENE
Last Name:ACHILLE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N LOOP 1604 E
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1258
Mailing Address - Country:US
Mailing Address - Phone:210-255-1466
Mailing Address - Fax:210-255-1488
Practice Address - Street 1:4606 TAMARON PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5413
Practice Address - Country:US
Practice Address - Phone:210-374-5038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX138100164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse