Healthcare Provider Details

I. General information

NPI: 1134887946
Provider Name (Legal Business Name): ALEXANDRA MICHAEL COWPER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 OLD SAN JOSE RD
SOQUEL CA
95073-9622
US

IV. Provider business mailing address

5303 OLD SAN JOSE RD
SOQUEL CA
95073-9622
US

V. Phone/Fax

Practice location:
  • Phone: 216-780-1361
  • Fax:
Mailing address:
  • Phone: 216-780-1361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM07339
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236397
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: