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General NPI Number Information
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NPI Number | 1023773744
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Entity Type | Individual
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Provider Name | ALEXA NICOLE DESSABLES DNP, ACNP-AG
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Gender | Female
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 10210 N 92ND ST STE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4525
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Country | US
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Telephone | 480-882-7750
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Fax | 480-882-5838
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Provider Business Mailing Address
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Address Line | 10210 N 92ND STREET, SUITE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1463
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Country | US
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Telephone | 480-882-7750
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Fax | 480-882-5838
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN184086
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 272641
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 272641
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License Number State | AZ
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