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Individual
TINA ALEXANDER
Active
Individual
TINA ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9381520
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10627
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN11015720
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10627
CNP LICENSE
MN
Enumeration date
09/29/2021
Last updated
02/12/2024
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