Individual
ALEXANDER JOHN FERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
929 HURON AVE, PORT HURON, MI 48060-3706
(810) 987-7304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704276743
MI
367500000X
Certified Registered Nurse Anesthetist
330630
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
4704276743
MI
Other
Enumeration date
02/17/2015
Last updated
10/10/2025
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