Provider Demographics
NPI:1669646154
Name:ALEXY, EILEEN M (PHD ,RN, APNC)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:M
Last Name:ALEXY
Suffix:
Gender:F
Credentials:PHD ,RN, APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PENNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628
Mailing Address - Country:US
Mailing Address - Phone:609-771-2490
Mailing Address - Fax:609-637-5159
Practice Address - Street 1:2000 PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628
Practice Address - Country:US
Practice Address - Phone:609-771-2490
Practice Address - Fax:609-637-5159
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ0008100364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist