Alan Detiberiis, APATH, DNP - Pathology in Henderson, NV

Alan Detiberiis, APATH, DNP is a Pathology - Clinical Informatics physician based in Henderson, Nevada. Alan Detiberiis is licensed to practice in Nevada (license number 405787) and his current practice location is 1205 W Warm Springs Rd Ste 100, Henderson, Nevada. He can be reached at his office (for appointments etc.) via phone at (702) 265-3033.

NPI number for Alan Detiberiis is 1679097976 and his current mailing address is 1208 Seminole Ln, Henderson, Nevada. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679097976.

Contact Information

Alan Detiberiis, APATH, DNP
1205 W Warm Springs Rd Ste 100,
Henderson, NV 89014-8741
(702) 265-3033
Not Available

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Physician's Profile

Full NameAlan Detiberiis
GenderMale
SpecialityPathology - Clinical Informatics
Location1205 W Warm Springs Rd Ste 100, Henderson, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679097976
  • Provider Enumeration Date: 07/28/2017
  • Last Update Date: 01/20/2022

Medical Identifiers

Medical identifiers for Alan Detiberiis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679097976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology D-16-1125-1121-A (ZZ)Secondary
374K00000XReligious Nonmedical Practitioner NA (Nevada)Secondary
207ZC0008XPathology - Clinical Informatics 405787 (Nevada)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alan Detiberiis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alan Detiberiis, APATH, DNP
1208 Seminole Ln,
Henderson, NV 89015-5565

Ph: (702) 265-3033
Alan Detiberiis, APATH, DNP
1205 W Warm Springs Rd Ste 100,
Henderson, NV 89014-8741

Ph: (702) 265-3033

Reviews and Comments


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