Healthcare Provider Details

I. General information

NPI: 1720490535
Provider Name (Legal Business Name): ALEXANDRA S SNELL APRN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA S LACOURSIERE APRN, CNP

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 VANDALIA ST
SAINT PAUL MN
55114-1312
US

IV. Provider business mailing address

671 VANDALIA ST
SAINT PAUL MN
55114-1312
US

V. Phone/Fax

Practice location:
  • Phone: 651-698-2406
  • Fax:
Mailing address:
  • Phone: 612-474-8141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP4448
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: