Provider Demographics
NPI:1851155220
Name:ALEXANDER, KRISHONA DANYELL (STNA)
Entity Type:Individual
Prefix:
First Name:KRISHONA
Middle Name:DANYELL
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3970 ROSWELL AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-3346
Mailing Address - Country:US
Mailing Address - Phone:513-304-0832
Mailing Address - Fax:
Practice Address - Street 1:3970 ROSWELL AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-3346
Practice Address - Country:US
Practice Address - Phone:513-304-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH60271411223376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide