MEDICARE: BRANDY DANIELLE ALEXANDER CNP

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	163W00000X	Registered Nurse	368204	OH
2	363LF0000X	Family Nurse Practitioner	CNP023619	OH
3	363LF0000X	Family Nurse Practitioner	GAA-NP002797	GA
4	363LF0000X	Family Nurse Practitioner	218787	AZ

General Provider Information

NPI Number	:	1912298209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDY DANIELLE ALEXANDER CNP

Provider Business Mailing Address
First Line	:	5110 W MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85035-3862
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5110 W MCDOWELL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85035-3862
Country	:	US
Telephone Number	:	602-671-7068
Fax Number	:

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

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	08/22/2025

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