Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 568193 | TX |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 3197882 | FL |
NPI | 1073507539 |
---|---|
Provider Name | Lee Ann Alexander |
First Address | Montgomery, AL 36117-2608 |
Second Address | Maxwell Afb, AL 36112-6027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 26/06/2013 |