Healthcare Provider Details

I. General information

NPI: 1811852916
Provider Name (Legal Business Name): ALIA KAMAL AL-ALAWI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N CENTER ST STE 102
MESA AZ
85201-6600
US

IV. Provider business mailing address

7147 W FOOTHILL DR
GLENDALE AZ
85310-5817
US

V. Phone/Fax

Practice location:
  • Phone: 480-834-5414
  • Fax:
Mailing address:
  • Phone: 602-489-1684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN204326
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: