Provider Demographics
NPI:1093452427
Name:BERARDINELLI, ALEJANDRA (PNP-PC)
Entity type:Individual
Prefix:MRS
First Name:ALEJANDRA
Middle Name:
Last Name:BERARDINELLI
Suffix:
Gender:F
Credentials:PNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8407 E BONNIE ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-6715
Mailing Address - Country:US
Mailing Address - Phone:915-787-0461
Mailing Address - Fax:
Practice Address - Street 1:1432 S DOBSON RD STE 301
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4773
Practice Address - Country:US
Practice Address - Phone:480-412-7409
Practice Address - Fax:480-412-7202
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ314469163W00000X, 363LP0200X
TX903010163WP0200X
TX1084065363LP0200X
WAAP61444941363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics