Individual
ALEXANDER JOHN DESMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
256733
SC
363LF0000X
Family Nurse Practitioner
Primary
31763
SC
Other
Enumeration date
06/16/2025
Last updated
08/21/2026
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