Healthcare Provider Details

I. General information

NPI: 1235763806
Provider Name (Legal Business Name): CAMI LYNN ALEXANDER APRN-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAMI LYNN BARNETT

II. Dates (important events)

Enumeration Date: 02/23/2020
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 E MAIN ST STE A
PAYSON AZ
85541-5646
US

IV. Provider business mailing address

PO BOX 1150
TONTO BASIN AZ
85553-1150
US

V. Phone/Fax

Practice location:
  • Phone: 928-951-0395
  • Fax: 928-492-9319
Mailing address:
  • Phone: 928-978-0959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number234663
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number234663
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: