Provider Demographics
NPI:1497353460
Name:ALEKSANDER, EMILIA MCVEY (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:EMILIA
Middle Name:MCVEY
Last Name:ALEKSANDER
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 FAWN AVE
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:IA
Mailing Address - Zip Code:52340-4764
Mailing Address - Country:US
Mailing Address - Phone:319-310-0580
Mailing Address - Fax:
Practice Address - Street 1:622 FAWN AVE
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:IA
Practice Address - Zip Code:52340-4764
Practice Address - Country:US
Practice Address - Phone:319-310-0580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA105714133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered