Healthcare Provider Details

I. General information

NPI: 1871349894
Provider Name (Legal Business Name): ALEXUS GAUSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 FOUNTAINS BLVD NE # 203
CEDAR RAPIDS IA
52411-6610
US

IV. Provider business mailing address

2608 IOWA ST APT C
CEDAR FALLS IA
50613-3881
US

V. Phone/Fax

Practice location:
  • Phone: 319-734-2002
  • Fax:
Mailing address:
  • Phone: 319-491-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: