Basic Information
Provider Information
NPI: 1558015172
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAVA
FirstName: ALEJANDRO
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1160 GASHES RIDGE LN UNIT 204
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288030451
CountryCode: US
TelephoneNumber: 8189155480
FaxNumber:  
Practice Location
Address1: 119 HENDERSONVILLE RD
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288032868
CountryCode: US
TelephoneNumber: 8287715500
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/11/2022
LastUpdateDate: 02/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X337659NCY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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