Individual
SUSAN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4421 W PLEASANT ACRES DR, DECATUR, AL 35603-5729
(256) 350-5836
Mailing address
1501 7TH ST SE # 3, DECATUR, AL 35601-3378
(256) 350-6182
(256) 350-6184
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-066697
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051531443
BCBS OF AL PROVIDER NUMBE
AL
Enumeration date
01/05/2007
Last updated
02/15/2017
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