# ALEXANDER ETU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972261196
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | RN215721 | AZ | Yes |
| 163WH0200X | Home Health Registered Nurse | RN215721 | AZ | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | RN215721 | AZ | — |

## Other

- **Enumeration date:** 12/05/2021
- **Last updated:** 12/05/2021