Provider Demographics
NPI:1508378688
Name:HENDERSON, ALESSANDRA M (APRN)
Entity Type:Individual
Prefix:MS
First Name:ALESSANDRA
Middle Name:M
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:6647 PHEASANT MOON ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4252
Mailing Address - Country:US
Mailing Address - Phone:305-778-5451
Mailing Address - Fax:
Practice Address - Street 1:2315 E CHEYENNE AVE STE 100
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-8442
Practice Address - Country:US
Practice Address - Phone:702-633-4000
Practice Address - Fax:702-633-4246
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN002694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily