Healthcare Provider Details

I. General information

NPI: 1326970443
Provider Name (Legal Business Name): ALEXIS NASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 WALLACE RD
AMES IA
50011-4008
US

IV. Provider business mailing address

1113 PRAIRIE GRASS LN
IOWA CITY IA
52246-8715
US

V. Phone/Fax

Practice location:
  • Phone: 515-294-8009
  • Fax:
Mailing address:
  • Phone: 319-400-4264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: