MEDICARE: ALEXANDRA MARIE HOLMES APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	3016081	KY
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0028290	OH

General Provider Information

NPI Number	:	1003401936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA MARIE HOLMES APRN, FNP-C

Provider Business Mailing Address
First Line	:	2139 AUBURN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2989
Country	:	US
Telephone Number	:	513-351-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	7545 BEECHMONT AVE STE C
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-4238
Country	:	US
Telephone Number	:	135-644-0265
Fax Number	:	513-564-4027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2021
Last Update Date	:	12/12/2023

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