Healthcare Provider Details

I. General information

NPI: 1932003431
Provider Name (Legal Business Name): ALEXANDRA SCANLAN-HINNEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 DODGE ST
DUBUQUE IA
52003-7159
US

IV. Provider business mailing address

2600 DODGE ST
DUBUQUE IA
52003-7159
US

V. Phone/Fax

Practice location:
  • Phone: 563-588-5520
  • Fax: 563-588-5521
Mailing address:
  • Phone: 563-588-5520
  • Fax: 563-588-5521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberP64441
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: