Individual
ALEXANDRA LYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 RANDALL RD STE 6, CARPENTERSVILLE, IL 60110-3355
(224) 484-0588
Mailing address
584 TELLURIDE DR, GILBERTS, IL 60136-4020
(630) 533-8425
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.395389
IL
363LF0000X
Family Nurse Practitioner
209.019116
IL
363LF0000X
Family Nurse Practitioner
Primary
277.003088
IL
Other
Enumeration date
11/17/2019
Last updated
05/14/2024
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