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ALEXANDER JOSEPH PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704307161
MI
363L00000X
Nurse Practitioner
Primary
79519
ID
363LF0000X
Family Nurse Practitioner
4704307161
MI

Other

Enumeration date
09/25/2019
Last updated
07/22/2025
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