Provider Demographics
NPI:1639930480
Name:ALEXANDER, BRIA S
Entity Type:Individual
Prefix:
First Name:BRIA
Middle Name:S
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 TENNYSON AVE NE
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-7703
Mailing Address - Country:US
Mailing Address - Phone:330-998-0006
Mailing Address - Fax:
Practice Address - Street 1:2124 TENNYSON AVE NE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-7703
Practice Address - Country:US
Practice Address - Phone:330-998-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion