Basic Information
Provider Information
NPI: 1184131765
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEXANDER
FirstName: HOPE
MiddleName: ANNETTE
NamePrefix:  
NameSuffix:  
Credential: FAMILY NURSE PRACTIT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1532 REDLAWN RD
Address2:  
City: BOYDTON
State: VA
PostalCode: 239173605
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 412 NAMOZINE ST
Address2:  
City: BURKEVILLE
State: VA
PostalCode: 239223184
CountryCode: US
TelephoneNumber: 4347675511
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/04/2018
LastUpdateDate: 01/04/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300X0024175668VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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