=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235436858
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALESANDRA NESS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2011
-----------------------------------------------------
Last Update Date | 08/16/2016
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1440 E CALVADA BLVD STE 900
-----------------------------------------------------
City | PAHRUMP
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89048-5856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-727-4000
-----------------------------------------------------
Fax | 775-727-3789
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1922
-----------------------------------------------------
City | PAHRUMP
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89041-1922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-209-4789
-----------------------------------------------------
Fax | 775-727-3789
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225400000X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------