Provider Demographics
NPI:1013589258
Name:ALEXANDER, ADRIANNE MARIE (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:MARIE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2912 WESTGATE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-2335
Mailing Address - Country:US
Mailing Address - Phone:702-417-1659
Mailing Address - Fax:
Practice Address - Street 1:2912 WESTGATE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-2335
Practice Address - Country:US
Practice Address - Phone:702-417-1659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001199755163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0001199755OtherRN LICENSE