Individual
KRISTY J. ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
829 N CENTER AVE, SUITE 200, GAYLORD, MI 49735-1595
(989) 731-2105
(989) 731-2440
Mailing address
271 MCCOY RD W, GAYLORD, MI 49735-8253
(989) 731-7708
(989) 731-7929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024171296
VA
363LF0000X
Family Nurse Practitioner
Primary
4704235673
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F96004
MEDICARE GROUP
MI
Enumeration date
11/01/2013
Last updated
08/17/2020
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