Healthcare Provider Details

I. General information

NPI: 1912298209
Provider Name (Legal Business Name): BRANDY DANIELLE ALEXANDER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5110 W MCDOWELL RD
PHOENIX AZ
85035-3862
US

IV. Provider business mailing address

5110 W MCDOWELL RD
PHOENIX AZ
85035-3862
US

V. Phone/Fax

Practice location:
  • Phone: 602-671-7068
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP023619
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP002797
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number218787
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number368204
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: