Lyn Alexander, CRNP

Individual provider Active NPI Nurse Practitioner · Bluffton, SC

NPI 1699712901 · NPPES record last updated Apr 17, 2013

Key facts

NPI
1699712901
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APN.18222 APRN (SC)
Practice address
29 Plantation Park Dr
202
Bluffton, SC 29910-9001
Phone
(843) 706-2255
Fax
(843) 706-2257
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.18222 APRNSCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frazier Hart Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.18222 APRN SC Yes

Addresses

Primary practice location

29 Plantation Park Dr
202
Bluffton, SC 29910-9001

Mailing address

29 Plantation Park Dr
Suite 202
Bluffton, SC 29910-9001
Phone (843) 706-2255

Other providers in Bluffton, SC

All providers in Bluffton, SC · Nurse Practitioner in South Carolina

Sources for this page

Verify at the official NPI Registry.