MEDICARE: MS. SANDRA M. ALEXANDER M.S., ARNP

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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	1316472	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528154143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SANDRA M. ALEXANDER M.S., ARNP

Provider Business Mailing Address
First Line	:	8145 CEREBELLUM WAY STE 101
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-1788
Country	:	US
Telephone Number	:	727-845-4999
Fax Number	:	866-777-2195

Provider Business Practice Location Address
First Line	:	8145 CEREBELLUM WAY STE 101
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-1788
Country	:	US
Telephone Number	:	727-845-4999
Fax Number	:	866-777-2195

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	01/05/2017

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