Alexandra L Hambly-Clark
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Canton, MO
NPI 1497565360 · NPPES record last updated Jan 13, 2025
Key facts
- NPI
- 1497565360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 409 S 4TH St
Canton, MO 63435-1647 - Phone
- (660) 229-1204
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
409 S 4TH St
Canton, MO 63435-1647
Mailing address
409 S 4TH St
Canton, MO 63435-1647
Phone (660) 229-1204
Other providers in Canton, MO
- Natalie Geralds
- Gabriel Victor Goncalves Dierks Machado
- Thomas Greene
- Xhane Greenidge
- Doniel James Greiner II
- Hannibal Regional Healthcare System, Inc
- Andrew Jacob Hegland
- Vanessa S Hernandez Castillo
- Sarah Hibbs
- Garrett Hogard
All providers in Canton, MO · Student in an Organized Health Care Education/Training Program in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.