Provider Demographics
NPI:1902390909
Name:KOEHLER, ALEXANDRA W (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:W
Last Name:KOEHLER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 KINGMAN ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6673
Mailing Address - Country:US
Mailing Address - Phone:504-353-5500
Mailing Address - Fax:
Practice Address - Street 1:3020 KINGMAN ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6673
Practice Address - Country:US
Practice Address - Phone:504-353-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily