Healthcare Provider Details

I. General information

NPI: 1649007634
Provider Name (Legal Business Name): ALEXANDRA T HOLMES CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5141 MORNING SUN RD
OXFORD OH
45056-9629
US

IV. Provider business mailing address

5141 MORNING SUN RD
OXFORD OH
45056-9629
US

V. Phone/Fax

Practice location:
  • Phone: 513-523-2156
  • Fax: 513-523-2503
Mailing address:
  • Phone: 513-523-2156
  • Fax: 513-523-2503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.00036659
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.00036659
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: