Healthcare Provider Details

I. General information

NPI: 1679106033
Provider Name (Legal Business Name): ALEXANDRA SAENZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2020
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 N PARK 40 BLVD
KNOXVILLE TN
37923-3624
US

IV. Provider business mailing address

320 N PARK 40 BLVD
KNOXVILLE TN
37923-3624
US

V. Phone/Fax

Practice location:
  • Phone: 865-692-3462
  • Fax:
Mailing address:
  • Phone: 865-692-3462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number6481
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: