Provider Demographics
NPI:1497990147
Name:ALEXANDER, MINY (CRNA)
Entity Type:Individual
Prefix:
First Name:MINY
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1003
Mailing Address - Country:US
Mailing Address - Phone:305-689-5376
Mailing Address - Fax:305-689-3990
Practice Address - Street 1:7500 SW 87TH AVENUE
Practice Address - Street 2:101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5426
Practice Address - Country:US
Practice Address - Phone:305-595-9511
Practice Address - Fax:305-271-0383
Is Sole Proprietor?:No
Enumeration Date:2008-12-10
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-381071367500000X
FLARNP9444707367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL041381071OtherSTATE LICENSE