ALISHA PROVOST, DO
Family Medicine
Active
Individual
NPI: 1073142816
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 2022032506 (MO) |
Frequently Asked Questions
NPI 1073142816 is the National Provider Identifier for ALISHA PROVOST, DO, a Family Medicine provider located in Nellis Afb, NV. This NPI was enumerated on April 3, 2020.
ALISHA PROVOST, DO practices at 4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191.
Quick Facts
- NPI
- 1073142816
- Type
- Individual
- Enumerated
- Apr 3, 2020
- Last Updated
- Jul 16, 2024
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