Healthcare Provider Details

I. General information

NPI: 1235048067
Provider Name (Legal Business Name): RENEE ARIEL ALEXANDRA DNP, PMHNP-BC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 TOWN CENTER DRIVE PMB 143
OXNARD CA
93036
US

IV. Provider business mailing address

755 TOWN CENTER DRIVE PMB 143
OXNARD CA
93036
US

V. Phone/Fax

Practice location:
  • Phone: 805-727-1611
  • Fax:
Mailing address:
  • Phone: 805-727-1611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95041307
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: