Provider Demographics
NPI:1811214547
Name:ALEXANDER, KRISTA RUTH (MD)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:RUTH
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:RUTH
Other - Last Name:NOACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4444 THE PLAZA
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-2189
Mailing Address - Country:US
Mailing Address - Phone:336-360-2407
Mailing Address - Fax:
Practice Address - Street 1:4444 THE PLAZA
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-2189
Practice Address - Country:US
Practice Address - Phone:336-360-2407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-003592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry