Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 95-171 | NM |
NPI | 1134255128 |
---|---|
Provider Name | Dr. Nancy Jean Alexander |
First Address | Roswell, NM 88201-7711 |
Second Address | Roswell, NM 88201-7711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |