Provider Demographics
NPI:1346759875
Name:ALESSI, ANDREA LYNN (PA)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:ALESSI
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:
Practice Address - Street 1:2865 SIENA HEIGHTS DR STE 331
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4171
Practice Address - Country:US
Practice Address - Phone:702-407-0110
Practice Address - Fax:702-407-0133
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2023-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVPA0400363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT3009280Medicaid
AZ1346759875Medicaid
NV1346759875Medicaid