Healthcare Provider Details

I. General information

NPI: 1457224974
Provider Name (Legal Business Name): ALEXUS CIERRA DALTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S BOYLAN AVE
RALEIGH NC
27603-1802
US

IV. Provider business mailing address

1704 BATTLEGROUND AVE
GREENSBORO NC
27408-7905
US

V. Phone/Fax

Practice location:
  • Phone: 919-833-7526
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number5024671
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: