Healthcare Provider Details

I. General information

NPI: 1659251916
Provider Name (Legal Business Name): ALANA OHAGIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2413 E 19TH ST
TUCSON AZ
85719-7018
US

IV. Provider business mailing address

2413 E 19TH ST
TUCSON AZ
85719-7018
US

V. Phone/Fax

Practice location:
  • Phone: 520-240-2152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN173333
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: