Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisha Provost, DO

Individual provider Family Medicine Physician · NPI 1073142816

Alisha Provost, DO is a Family Medicine Physician in Nellis AFB, Nevada. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2022032506 (MO)

Record details

NPI number1073142816
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

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