Provider Demographics
NPI:1164056339
Name:ALEXANDER, CATHRYN (CMA RMA, RN)
Entity Type:Individual
Prefix:
First Name:CATHRYN
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CMA RMA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 CHEYENNE BLVD APT 78
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1739
Mailing Address - Country:US
Mailing Address - Phone:419-704-5921
Mailing Address - Fax:
Practice Address - Street 1:2413 CHEYENNE BLVD APT 78
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-1739
Practice Address - Country:US
Practice Address - Phone:419-704-5921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.434861163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice