Laura Alexander, RN, BSN

Individual provider Active NPI Registered Nurse · Berkeley, CA

NPI 1467015396 · NPPES record last updated Apr 16, 2019

Key facts

NPI
1467015396
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
321961 (CA)
Practice address
2222 Bancroft Way
Berkeley, CA 94720-4301
Phone
(510) 642-6621
Fax
(510) 642-1801
NPI assigned
Apr 16, 2019
Sex
Female
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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
321961CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 321961 CA Yes

Addresses

Primary practice location

2222 Bancroft Way
Berkeley, CA 94720-4301

Mailing address

2222 Bancroft Way
Berkeley, CA 94720-4301
Phone (510) 643-5808

Other identifiers

IdentifierTypeStateIssuer
321961OtherCACALIFORNIA BOARD OF REGISTERED NURSING

Other names

  • Laura Jane Wachter Former name

Other providers in Berkeley, CA

All providers in Berkeley, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.