Provider Demographics
NPI:1235763806
Name:ALEXANDER, CAMI LYNN (APRN-FNP)
Entity Type:Individual
Prefix:
First Name:CAMI
Middle Name:LYNN
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:CAMI
Other - Middle Name:LYNN
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:913 S CORONADO WAY
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85541-5625
Mailing Address - Country:US
Mailing Address - Phone:928-978-0959
Mailing Address - Fax:
Practice Address - Street 1:117 E MAIN ST STE A100
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-4606
Practice Address - Country:US
Practice Address - Phone:928-596-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-23
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ234663363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily