Individual
DEDRA ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
901 S HUNTINGTON ST, SULPHUR, LA 70663-4419
(337) 965-9921
Mailing address
PO BOX 12021, LAKE CHARLES, LA 70612-2021
(337) 368-5801
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN097415
LA
363LF0000X
Family Nurse Practitioner
213891
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
213891
LA
Other
Enumeration date
09/26/2018
Last updated
10/24/2024
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