Healthcare Provider Details

I. General information

NPI: 1912594417
Provider Name (Legal Business Name): ALEXA KLEIMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 HOSPITAL DR
CHEVERLY MD
20785-1189
US

IV. Provider business mailing address

6000 MERRIWEATHER DR UNIT 2090
COLUMBIA MD
21044-4176
US

V. Phone/Fax

Practice location:
  • Phone: 301-618-2000
  • Fax:
Mailing address:
  • Phone: 443-744-2325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN783514
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR207011
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: