Provider Demographics
NPI:1023773744
Name:DESSABLES, ALEXA NICOLE (DNP, ACNP-AG)
Entity type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:NICOLE
Last Name:DESSABLES
Suffix:
Gender:F
Credentials:DNP, ACNP-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 N 92ND STREET, SUITE 300
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1463
Mailing Address - Country:US
Mailing Address - Phone:480-882-7750
Mailing Address - Fax:480-882-5838
Practice Address - Street 1:10210 N 92ND ST STE 300
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4525
Practice Address - Country:US
Practice Address - Phone:480-882-7750
Practice Address - Fax:480-882-5838
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN184086163WC0200X
AZ272641363LC0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine