Individual
MRS. KELLI LYNN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-7614
(540) 741-7615
Mailing address
3100 SPRING FOREST ROAD SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169191
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992003263
—
VA
Enumeration date
03/10/2011
Last updated
08/23/2017
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