Healthcare Provider Details

I. General information

NPI: 1922944636
Provider Name (Legal Business Name): RENITA D ALEXANDER ED.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3769 BEDFORD DR
NORTH BEACH MD
20714-4043
US

IV. Provider business mailing address

3769 BEDFORD DR
NORTH BEACH MD
20714-4043
US

V. Phone/Fax

Practice location:
  • Phone: 240-994-0926
  • Fax:
Mailing address:
  • Phone: 240-994-0926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: