Healthcare Provider Details

I. General information

NPI: 1225793847
Provider Name (Legal Business Name): ANDREW CURTIS ALEXANDER FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2021
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 GARDINER ST
RICHMOND ME
04357-1347
US

IV. Provider business mailing address

PO BOX 727
WATERVILLE ME
04903-0727
US

V. Phone/Fax

Practice location:
  • Phone: 207-737-4359
  • Fax: 207-737-4412
Mailing address:
  • Phone: 207-660-9926
  • Fax: 207-660-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP211577
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: