Individual provider · Type 1 NPI

Alexandra Diersen, FNP-C

Family Nurse Practitioner · Milwaukee, WI

NPI number 1417836396 Active

Practice location

2400 W Villard Ave
Milwaukee, WI 53209-4901

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	164167 (IA)
Family Nurse Practitioner Primary	363LF0000X	17382-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1417836396

Alexandra Diersen, FNP-C's National Provider Identifier is 1417836396, issued on Aug 27, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 13, 2025.