Healthcare Provider Details

I. General information

NPI: 1508272972
Provider Name (Legal Business Name): LAUREN ADAMS ALEXANDER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 06/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 CAMINO DEL REMEDIO ALCOHOL DRUG AND MENTAL HEALTH
SANTA BARBARA CA
93110
US

IV. Provider business mailing address

PO BOX 1236
SANTA YNEZ CA
93460-1236
US

V. Phone/Fax

Practice location:
  • Phone: 805-681-5220
  • Fax:
Mailing address:
  • Phone: 805-455-5455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number653253
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: