Individual
ALEXA SCANLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 WILLOW CREEK RD STE 3200, PRESCOTT, AZ 86301-1614
(928) 771-5595
(928) 771-5596
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204500
—
AZ
Enumeration date
09/26/2022
Last updated
10/16/2025
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