Provider Demographics
NPI:1326169657
Name:ALESSI, HEIDI S (RN FNP C)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:S
Last Name:ALESSI
Suffix:
Gender:F
Credentials:RN FNP C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3051 N WINDSONG DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-2248
Mailing Address - Country:US
Mailing Address - Phone:928-772-3336
Mailing Address - Fax:928-775-0021
Practice Address - Street 1:3051 N WINDSONG DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2248
Practice Address - Country:US
Practice Address - Phone:928-772-3336
Practice Address - Fax:928-775-0021
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN093850163WP0200X
AZAP2615363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ209531Medicaid