Healthcare Provider Details

I. General information

NPI: 1871258319
Provider Name (Legal Business Name): ALEXANDREA MURIEL SEHERR-THOSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEXIE SEHERR-THOSS

II. Dates (important events)

Enumeration Date: 10/31/2021
Last Update Date: 10/31/2021
Certification Date: 10/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7650 E WILLIAMS DR UNIT 1052
SCOTTSDALE AZ
85255-4886
US

IV. Provider business mailing address

7650 E WILLIAMS DR UNIT 1052
SCOTTSDALE AZ
85255-4886
US

V. Phone/Fax

Practice location:
  • Phone: 480-369-9867
  • Fax:
Mailing address:
  • Phone: 480-369-9867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number86078991
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number86078991
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number86078991
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number86078991
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code133VN1101X
TaxonomyGerontological Nutrition Registered Dietitian
License Number86078991
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code133VN1301X
TaxonomyOncology Nutrition Registered Dietitian
License Number86078991
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number86078991
License Number StateAZ
# 8
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86078991
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: