Grzywa, Alexa Nicole

Grzywa, Alexa Nicole is an individual health care provider with primary practice located at 1 Edmundson Pl Ste 306 , Council Bluffs IA 51503-4620. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Grzywa, Alexa Nicole can be contacted via phone (712) 396-7787.

Contact Information

Primary practice address
1 Edmundson Pl Ste 306 Council Bluffs IA 51503-4620
Phone: (712) 396-7787
Fax: (712) 396-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1700 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 073625 Iowa

Profile Details

NPI number 1427396670
LBN Legal business name Grzywa, Alexa Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2013
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427396670 NPPES
Nebraska MEDICAID 47068731712
Nebraska MEDICAID 10026209700

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