Provider Demographics
NPI:1578002770
Name:ALEXANDER, YOLANDA (MS)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 FALSTAFF CT
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4942
Mailing Address - Country:US
Mailing Address - Phone:804-382-2542
Mailing Address - Fax:804-414-7026
Practice Address - Street 1:1211 FALSTAFF CT
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-4942
Practice Address - Country:US
Practice Address - Phone:804-382-2542
Practice Address - Fax:804-414-7026
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0180233691171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator