ALEXANDRA DIERSEN FNP-C NPI 1417836396

NPI Information

  • NPI: 1417836396
  • Provider Name: ALEXANDRA DIERSEN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2400 W VILLARD AVE
    MILWAUKEE, WI
    ZIP 53209
  • Phone: (414) 527-8191

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NPI Details

Alexandra Diersen, FNP-C is a family nurse practitioner in Milwaukee, WI. Alexandra Diersen, FNP-C NPI is 1417836396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2400 W VILLARD AVE
MILWAUKEE, WI
ZIP 53209-901
Phone: (414) 527-8191

The NPI 1417836396 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 8/27/2025 and was last updated on 11/13/2025.

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
1163W00000XRegistered Nurse164167IOWANo
2363LF0000XNurse PractitionerFamily17382-33WISCONSINYes

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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