Provider Demographics
NPI:1831163849
Name:FELICIA, ALICIA GALAROSA (MSN-APRN)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:GALAROSA
Last Name:FELICIA
Suffix:
Gender:F
Credentials:MSN-APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 W. BONNEVILLE AVE.
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106
Mailing Address - Country:US
Mailing Address - Phone:702-483-6000
Mailing Address - Fax:702-778-7004
Practice Address - Street 1:888 W. BONNEVILLE AVE.
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106
Practice Address - Country:US
Practice Address - Phone:702-483-6000
Practice Address - Fax:702-778-7004
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN000882364SM0705X, 363L00000X
NVRN50331364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
102058Medicare PIN
NV102058Medicare PIN