Provider Demographics
NPI:1780072868
Name:LIGHTNING, ALEXANDRIA (APRN)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:LIGHTNING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N GREEN VALLEY PKWY STE 114
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-0408
Mailing Address - Country:US
Mailing Address - Phone:702-550-2151
Mailing Address - Fax:702-977-9033
Practice Address - Street 1:2900 N GREEN VALLEY PKWY STE 114
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-0408
Practice Address - Country:US
Practice Address - Phone:702-550-2151
Practice Address - Fax:702-977-9033
Is Sole Proprietor?:No
Enumeration Date:2014-12-24
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28203283A163W00000X, 363LF0000X
NV831710363LP2300X
CA95008353363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily