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NPI Code Detail

MEDICARE: DR. SALLY ANN ALEXANDER DNP

MEDICARE: DR. SALLY ANN ALEXANDER DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP7318AZ

General Provider Information

NPI Number : 1417352196
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALLY ANN ALEXANDER DNP
Provider Business Mailing Address
First Line : 11022 S 51ST ST STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-4319
Country : US
Telephone Number : 928-426-0000
Fax Number : 833-989-0980
Provider Business Practice Location Address
First Line : 11022 S 51ST ST STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-4319
Country : US
Telephone Number : 928-426-0000
Fax Number : 833-989-0980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2014
Last Update Date : 01/31/2024

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