Provider Demographics
NPI:1871258319
Name:SEHERR-THOSS, ALEXANDREA MURIEL
Entity Type:Individual
Prefix:
First Name:ALEXANDREA
Middle Name:MURIEL
Last Name:SEHERR-THOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:
Other - Last Name:SEHERR-THOSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7650 E WILLIAMS DR UNIT 1052
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4886
Mailing Address - Country:US
Mailing Address - Phone:480-369-9867
Mailing Address - Fax:
Practice Address - Street 1:7650 E WILLIAMS DR UNIT 1052
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-4886
Practice Address - Country:US
Practice Address - Phone:480-369-9867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-31
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ86078991133VN1004X, 133VN1005X, 133VN1006X, 133VN1201X, 133VN1101X, 133VN1301X, 133VN1501X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management
No133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Gerontological
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics