Individual
IAN ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 490-2030
Mailing address
1830 LOMBARD ST APT 309, PHILADELPHIA, PA 19146-4032
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
CNS000358
PA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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