Individual
MARY L ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 293-8228
(937) 293-8229
Mailing address
PO BOX 932759, CLEVELAND, OH 44193-0015
(866) 282-7905
(800) 731-0751
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.07253
OH
367500000X
Certified Registered Nurse Anesthetist
RN-286720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2373382
—
OH
Enumeration date
02/06/2006
Last updated
07/23/2019
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