Individual
ALEXANDREA D TAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, PMHNP-BC
Contact information
Practice address
8275 WALNUT HILL LN APT 534, DALLAS, TX 75231-4609
(254) 548-2329
Mailing address
8275 WALNUT HILL LN APT 534, DALLAS, TX 75231-4609
(254) 548-2329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1167266
TX
163W00000X
Registered Nurse
519418
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1167266
TX
Other
Enumeration date
01/12/2024
Last updated
07/29/2024
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