Basic Information
| Provider Information | |||||||||
| NPI: | 1831163849 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FELICIA | ||||||||
| FirstName: | ALICIA | ||||||||
| MiddleName: | GALAROSA | ||||||||
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| Credential: | MSN-APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 888 W. BONNEVILLE AVE. | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024836000 | ||||||||
| FaxNumber: | 7027787004 | ||||||||
| Practice Location | |||||||||
| Address1: | 888 W. BONNEVILLE AVE. | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 89106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7024836000 | ||||||||
| FaxNumber: | 7027787004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2006 | ||||||||
| LastUpdateDate: | 05/20/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SM0705X | APN000882 | NV | N | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Medical-Surgical | 363L00000X | APN000882 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 364SM0705X | RN50331 | NV | N | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Medical-Surgical |
No ID Information.