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NPI Code Detail

MEDICARE: ALPHA MEDICAL PROVIDERS

MEDICARE: ALPHA MEDICAL PROVIDERS
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1740836311
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALPHA MEDICAL PROVIDERS
Provider Business Mailing Address
First Line : 2477 CINGOLI ST
Second Line :
City : HENDERSON
State : NV
Zip : 89044-1634
Country : US
Telephone Number : 702-756-6120
Fax Number :
Provider Business Practice Location Address
First Line : 8778 S MARYLAND PKWY STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-6705
Country : US
Telephone Number : 725-500-4645
Fax Number : 702-442-0947
Authorized Official
Title or Position : OWNER
Name : CHRISTOPHER MISA
Credential : APRN
Telephone Number : 702-756-6120
Provider Enumeration Date : 08/10/2019
Last Update Date : 11/17/2025

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Directions to “ALPHA MEDICAL PROVIDERS ” Practice Location

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