Individual
ALEXANDRA JANOTA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17337-33
WI
Other
Enumeration date
06/02/2025
Last updated
01/08/2026
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