Individual
MS. LAURA NICOLE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
3 DOCTORS PARK, GIBSON CITY, IL 60936-2000
(217) 784-4030
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4030
(217) 784-4405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370647938022
—
IL
Enumeration date
09/27/2019
Last updated
08/11/2020
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