Provider Demographics
NPI:1710597216
Name:ADAIR, ALEXANDRA A (APRN)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:A
Last Name:ADAIR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8112 SEVILLE CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70820-6527
Mailing Address - Country:US
Mailing Address - Phone:318-230-3412
Mailing Address - Fax:
Practice Address - Street 1:8585 PICARDY AVE STE 518
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3748
Practice Address - Country:US
Practice Address - Phone:225-442-3166
Practice Address - Fax:225-400-6495
Is Sole Proprietor?:No
Enumeration Date:2020-08-09
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA213737363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner