Provider Demographics
NPI:1952113920
Name:HARRISON, ALFIONYA
Entity type:Individual
Prefix:
First Name:ALFIONYA
Middle Name:
Last Name:HARRISON
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 1:757 AMBER MORNING CT
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-3009
Mailing Address - Country:US
Mailing Address - Phone:702-750-7331
Mailing Address - Fax:
Practice Address - Street 1:757 AMBER MORNING CT
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-3009
Practice Address - Country:US
Practice Address - Phone:702-750-7331
Practice Address - Fax:702-750-7331
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant