Provider Demographics
NPI:1265142236
Name:NANSINLA, ALEXINE KEJIKA (PMHNP-BC, MS, BS, RN)
Entity type:Individual
Prefix:
First Name:ALEXINE
Middle Name:KEJIKA
Last Name:NANSINLA
Suffix:
Gender:F
Credentials:PMHNP-BC, MS, BS, RN
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:139 WAR ADMIRAL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-2005
Mailing Address - Country:US
Mailing Address - Phone:512-774-1261
Mailing Address - Fax:
Practice Address - Street 1:501 S CHERRY ST STE 820
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1325
Practice Address - Country:US
Practice Address - Phone:702-790-3315
Practice Address - Fax:702-589-4872
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-01
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG171991363LP0808X
COC-APN.0100804-C-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty