Individual
TAMATHA MARIE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4731 S COCHISE DR STE 100, INDEPENDENCE, MO 64055-6975
(816) 373-1111
(816) 373-9222
Mailing address
4731 S COCHISE DR STE 100, INDEPENDENCE, MO 64055-6975
(816) 373-1111
(816) 373-9222
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019024921
MO
Other
Enumeration date
09/17/2019
Last updated
09/02/2025
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