1760675912 NPI number — MS. NANCY L ALSACE NP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760675912 NPI number — MS. NANCY L ALSACE NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALSACE
Provider First Name:
NANCY
Provider Middle Name:
L
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760675912
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
US EMBASSY SANTIAGO UNIT 4103
Provider Second Line Business Mailing Address:
APO AA
Provider Business Mailing Address City Name:
APO AA
Provider Business Mailing Address State Name:
SANTIAGO
Provider Business Mailing Address Postal Code:
34033
Provider Business Mailing Address Country Code:
CL
Provider Business Mailing Address Telephone Number:
0115622425570
Provider Business Mailing Address Fax Number:
0115623303101

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DEPARTMENT OF STATE MED US EMBASSY SANTIAGO
Provider Second Line Business Practice Location Address:
2401 E STREET NW
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20522-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-880-5140
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/21/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  0024103261 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LA2200X , with the licence number: RN60205 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)