Healthcare Provider Details

I. General information

NPI: 1760055628
Provider Name (Legal Business Name): DEANAH ALEXANDER, RN,CNS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 SW 7TH AVE
AMARILLO TX
79106-6601
US

IV. Provider business mailing address

2307 SW 7TH AVE
AMARILLO TX
79106-6601
US

V. Phone/Fax

Practice location:
  • Phone: 806-676-8351
  • Fax: 806-373-8147
Mailing address:
  • Phone: 806-676-8351
  • Fax: 806-373-8147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DEANAH ALEXANDER
Title or Position: APRN
Credential:
Phone: 806-373-8351