Terry Alexander

Individual provider Active NPI Community Health Registered Nurse · Stanton, MI

NPI 1023484193 · NPPES record last updated Aug 12, 2015

Key facts

NPI
1023484193
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
4704121261 (MI)
Practice address
611 N State St
Stanton, MI 48888-9702
Phone
(989) 831-7520
Fax
(989) 831-7578
NPI assigned
Aug 12, 2015
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4704121261MIMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 4704121261 MI Yes

Addresses

Primary practice location

611 N State St
Stanton, MI 48888-9702

Mailing address

611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520

Other providers in Stanton, MI

All providers in Stanton, MI · Community Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.