ALEJANDRO VICENTE CASANOVA VERGARAY NPI 1407636053

NPI Information

  • NPI: 1407636053
  • Provider Name: ALEJANDRO VICENTE CASANOVA VERGARAY
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 816 22ND AVE
    KEARNEY, NE
    ZIP 68845
  • Phone: (308) 865-2263

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NPI Details

Alejandro Vicente Casanova Vergaray is an acute care nurse practitioner in Kearney, NE with 3 years of experience. Alejandro Vicente Casanova Vergaray NPI is 1407636053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

816 22ND AVE
KEARNEY, NE
ZIP 68845-234
Phone: (308) 865-2263

The NPI 1407636053 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2023 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care115067NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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