NPI 1922774470

Alissa J Nieves

Practitioner Foster Care Agency Yuma, AZ

Practice location

Address: 3565 W 22nd St Unit E, Yuma, AZ 85364-7626
Phone: (928) 315-3254
Mailing address: 3818 W 16th St, Yuma, AZ 85364-4107

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 11170207 (AZ)

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Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X Licence 11170207 (AZ)

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Registry record

NPI: 1922774470
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2021
Record last updated: 21 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.