Healthcare Provider Details

I. General information

NPI: 1588936413
Provider Name (Legal Business Name): EMRA MCALEXANDER HOPKINS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMRA GLYN MCALEXANDER RN

II. Dates (important events)

Enumeration Date: 02/08/2012
Last Update Date: 02/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6423 PELLA RD
CHARLOTTE NC
28211-5448
US

IV. Provider business mailing address

6423 PELLA RD
CHARLOTTE NC
28211-5448
US

V. Phone/Fax

Practice location:
  • Phone: 704-366-8747
  • Fax:
Mailing address:
  • Phone: 704-366-8747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number151652
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number88193
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: