Individual
ALEXANDRA RAE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8380 RIVERWALK PARK BLVD STE 100, FORT MYERS, FL 33919-8758
(239) 343-9960
(239) 343-9977
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9960
(239) 343-9977
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11006293
FL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
APRN11006293
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105748600
—
FL
Enumeration date
03/03/2020
Last updated
04/20/2022
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