Healthcare Provider Details

I. General information

NPI: 1669646154
Provider Name (Legal Business Name): EILEEN M ALEXY PHD ,RN, APNC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 PENNINGTON RD
EWING NJ
08628
US

IV. Provider business mailing address

2000 PENNINGTON RD
EWING NJ
08628
US

V. Phone/Fax

Practice location:
  • Phone: 609-771-2490
  • Fax: 609-637-5159
Mailing address:
  • Phone: 609-771-2490
  • Fax: 609-637-5159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberNJ0008100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: