Individual provider · NPI-1
Denise M Alexander, NP
Nurse Practitioner · Bloomington, IN
NPI number1821615485
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1821615485
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Denise M Alexander
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2020
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71010281A | IN | Yes |
Practice location
3050 N Lintel DriveBloomington, IN 47404-8975
Phone 812-336-2815
Mailing address
21 Eastbrook Bend, Ste 218Peachtree City, GA 30269-1546
Phone 678-967-5599
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