Individual
GWENETH L ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
9900 BREN RD E, HOPKINS, MN 55343-9664
(239) 478-1969
Mailing address
305 NW 26TH PL, CAPE CORAL, FL 33993-6413
(239) 478-1969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9254337
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP 9254337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009561700
—
FL
01
—
7290198
CIGNA
FL
01
—
P01223393
RAILROAD MCR
FL
01
—
P1019921
FREEDOM
FL
01
—
P958468
OPTIMUM
FL
01
—
Y0J2X
BCBS OF FL
FL
Enumeration date
08/15/2012
Last updated
09/09/2020
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