MEDICARE: ALENA GREWAL DNP, APRN, FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	819190	NV

General Provider Information

NPI Number	:	1710538939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALENA GREWAL DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	7906 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1990
Country	:	US
Telephone Number	:	702-406-0849
Fax Number	:

Provider Business Practice Location Address
First Line	:	7906 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1990
Country	:	US
Telephone Number	:	702-813-8179
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2019
Last Update Date	:	04/01/2024

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