NPI 1164605242 · live from the CMS NPI Registry
Alliance Children'S & Allied Health, INC.
Nurse Practitioner, Pediatrics in Alliance, NE. National Provider Identifier 1164605242, active.
NPI record
| NPI | 1164605242 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2091 Box Butte Avenue, Suite 600, Alliance, NE 69301 |
| Practice phone | 308-761-1151 |
| Mailing address | 204 E 3rd St, Alliance, NE 69301 |
| Enumerated | December 11, 2007 |
| Last updated | April 22, 2015 |
| Authorized official | Janell Grant, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.