Individual
MR. DERIK MICHAEL ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
500 W THOMAS RD STE 400, PHOENIX, AZ 85013-4238
(602) 406-3874
(602) 406-2335
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP3593
AZ
363LF0000X
Family Nurse Practitioner
AP3593
AZ
Other
Enumeration date
03/04/2010
Last updated
01/22/2025
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