Provider Demographics
NPI:1851009922
Name:VOSS, ALEXANDRA MONICA
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MONICA
Last Name:VOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 BERRUM LN APT 4
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4514
Mailing Address - Country:US
Mailing Address - Phone:775-560-5625
Mailing Address - Fax:
Practice Address - Street 1:2215 GREEN VISTA DR STE 304
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8508
Practice Address - Country:US
Practice Address - Phone:775-827-2323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4126225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist