Healthcare Provider Details

I. General information

NPI: 1275088205
Provider Name (Legal Business Name): ALEXA CARROZZA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 W CHARLESTON BLVD STE 142
LAS VEGAS NV
89146-1050
US

IV. Provider business mailing address

PO BOX 853
LOGANDALE NV
89021-0853
US

V. Phone/Fax

Practice location:
  • Phone: 702-440-8430
  • Fax: 866-640-0525
Mailing address:
  • Phone: 702-934-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN002368
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: