Individual
MS. HEIDE PHILLIPS ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4851 INDEPENDENCE ST STE 100, WHEAT RIDGE, CO 80033-6711
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST STE 100, WHEAT RIDGE, CO 80033-6711
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184142
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0997390
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75604370
—
CO
Enumeration date
12/01/2009
Last updated
04/05/2022
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