Provider Demographics
NPI:1164663845
Name:ALEXANDER, MARSHA A (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:A
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4133 DREAM CATCHER DR. NW
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-7008
Mailing Address - Country:US
Mailing Address - Phone:770-499-7550
Mailing Address - Fax:
Practice Address - Street 1:980 WOODSTOCK PARKWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188
Practice Address - Country:US
Practice Address - Phone:678-494-9545
Practice Address - Fax:678-494-9573
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN111872163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience