Individual
ALEXANDRA RAE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5024359
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5024359
NC
363LG0600X
Gerontology Nurse Practitioner
APRN11006293
FL
364SM0705X
Medical-Surgical Clinical Nurse Specialist
5024359
NC
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
08/12/2026
Update your record
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