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NPI Code Detail

MEDICARE: ALEXANDRIA WHITEHEAD

MEDICARE:   ALEXANDRIA  WHITEHEAD
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1720935539
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA WHITEHEAD
Provider Business Mailing Address
First Line : 1420 W 2ND ST
Second Line :
City : HASTINGS
State : NE
Zip : 68901-4961
Country : US
Telephone Number : 402-462-8500
Fax Number : 402-462-8520
Provider Business Practice Location Address
First Line : 1420 W 2ND ST
Second Line :
City : HASTINGS
State : NE
Zip : 68901-4961
Country : US
Telephone Number : 402-462-8500
Fax Number : 402-462-8520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ ALEXANDRIA WHITEHEAD ” Practice Location

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