Provider Demographics
NPI:1134883267
Name:NEESE, ALEX
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:NEESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALYX
Other - Middle Name:
Other - Last Name:NEESE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:606 VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-1502
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 TECHNOLOGY DR STE 3310
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-8828
Practice Address - Country:US
Practice Address - Phone:681-404-5040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant