Provider Demographics
NPI:1699366328
Name:PERRIN, ALEXANDRE (RN, FNP STUDENT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRE
Middle Name:
Last Name:PERRIN
Suffix:
Gender:M
Credentials:RN, FNP STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 MARBLE AVE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:800-690-0934
Mailing Address - Fax:
Practice Address - Street 1:2502 MARBLE AVE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-2727
Practice Address - Country:US
Practice Address - Phone:800-690-0934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRN-84489163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse