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NPI Code Detail

MEDICARE: ALEXA NOEL NIELSON

MEDICARE:   ALEXA NOEL NIELSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwife

General Provider Information

NPI Number : 1699424416
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA NOEL NIELSON
Provider Business Mailing Address
First Line : 8761 THORNHILL DR
Second Line :
City : MOUNTAIN GROVE
State : MO
Zip : 65711-2946
Country : US
Telephone Number : 801-362-7649
Fax Number :
Provider Business Practice Location Address
First Line : 8761 THORNHILL DR
Second Line :
City : MOUNTAIN GROVE
State : MO
Zip : 65711-2946
Country : US
Telephone Number : 801-362-7649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2022
Last Update Date : 01/05/2026

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Directions to “ ALEXA NOEL NIELSON ” Practice Location

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