MEDICARE: DEBRA M ALEXANDER MSN, APRN, BC-FNP

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
1	363LF0000X	Family Nurse Practitioner	100331	MO

General Provider Information

NPI Number	:	1841471307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA M ALEXANDER MSN, APRN, BC-FNP

Provider Business Mailing Address
First Line	:	1723 BROADWAY ST STE 410
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4556
Country	:	US
Telephone Number	:	573-332-7746
Fax Number	:	573-339-9709

Provider Business Practice Location Address
First Line	:	1723 BROADWAY ST
Second Line	:	SUITE 410
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63701-4505
Country	:	US
Telephone Number	:	573-339-1957
Fax Number	:	573-339-9709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	06/05/2024

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