Provider Demographics
NPI:1033802277
Name:ISRAEL, ALEXZANDREA (DOULA)
Entity Type:Individual
Prefix:
First Name:ALEXZANDREA
Middle Name:
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13318 DIXIE HWY LOT 185
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-9629
Mailing Address - Country:US
Mailing Address - Phone:248-605-1169
Mailing Address - Fax:
Practice Address - Street 1:13318 DIXIE HWY LOT 185
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-9629
Practice Address - Country:US
Practice Address - Phone:248-605-1169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC620044044744374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula