Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALAN DETIBERIIS, A.PATH, DNP
Active Sole ProprietorALAN DETIBERIIS, A.PATH, DNP is a 207ZC0008X healthcare provider located in HENDERSON, Nevada. NPI 1679097976 is currently active in the NPPES registry. Verify at CMS.
207ZC0008X · HENDERSON, NV
Registration Details
- NPI Number
- 1679097976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2017 (8.9018314791104 yrs)
- Last Updated
- Jan 20, 2022
- Licenses
-
D-16-1125-1121-A (ZZ)NA (NV)405787 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1205 W WARM SPRINGS RD STE 100HENDERSON, NV, 890148741Browse NV providers · Browse ZIP 89014
- Phone
- 7022653033
- Primary Specialty
-
207ZC0008X
207ZC0008X
- Additional Specialty
- 374K00000X
- Additional Specialty
- 207ZC0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.