Individual provider · NPI-1
Crystal Antaneia Alexander
Home Health Aide · Newport News, VA
NPI number1861294514
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1861294514
- Entity type
- Individual (NPI-1)
- Name
- Crystal Antaneia Alexander
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2025
- Certification date
- Mar 25, 2025
- Last updated
- Mar 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 1401193054 | VA | Yes |
Practice location
848 18th StNewport News, VA 23607-5810
Phone 757-933-5468
Mailing address
848 18th StNewport News, VA 23607-5810
Phone 757-933-5468
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