Provider Demographics
NPI:1760675912
Name:ALSACE, NANCY L (NP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:ALSACE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US EMBASSY SANTIAGO UNIT 4103
Mailing Address - Street 2:APO AA
Mailing Address - City:APO AA
Mailing Address - State:SANTIAGO
Mailing Address - Zip Code:34033
Mailing Address - Country:CL
Mailing Address - Phone:011562-242-5570
Mailing Address - Fax:011562-330-3101
Practice Address - Street 1:DEPARTMENT OF STATE MED US EMBASSY SANTIAGO
Practice Address - Street 2:2401 E STREET NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0001
Practice Address - Country:US
Practice Address - Phone:703-880-5140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024103261363LA2200X
DCRN60205363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health