Healthcare Provider Details

I. General information

NPI: 1518354893
Provider Name (Legal Business Name): ALEXANDRA NICOLE SPIRTOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2015
Last Update Date: 04/24/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 PINTO LANE STE 200
LAS VEGAS NV
89106
US

IV. Provider business mailing address

2050 PINTO LANE STE 200
LAS VEGAS NV
89106-4159
US

V. Phone/Fax

Practice location:
  • Phone: 702-693-6870
  • Fax: 702-693-6899
Mailing address:
  • Phone: 702-693-6870
  • Fax: 702-693-6899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number24283
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: