Provider Demographics
NPI:1760055628
Name:DEANAH ALEXANDER, RN,CNS
Entity Type:Organization
Organization Name:DEANAH ALEXANDER, RN,CNS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:DEANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-373-8351
Mailing Address - Street 1:2307 SW 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-6601
Mailing Address - Country:US
Mailing Address - Phone:806-676-8351
Mailing Address - Fax:806-373-8147
Practice Address - Street 1:2307 SW 7TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-6601
Practice Address - Country:US
Practice Address - Phone:806-676-8351
Practice Address - Fax:806-373-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty