Provider Demographics
NPI:1023264496
Name:ALEXANDER, SONJA MELISSA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:MELISSA
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:SONJA
Other - Middle Name:MELISSA
Other - Last Name:BENN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:7864B MAYFAIR CIR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-6972
Mailing Address - Country:US
Mailing Address - Phone:443-880-5597
Mailing Address - Fax:
Practice Address - Street 1:227 SAINT PAUL PL
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2001
Practice Address - Country:US
Practice Address - Phone:410-332-9205
Practice Address - Fax:410-545-4611
Is Sole Proprietor?:No
Enumeration Date:2008-08-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR153098363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily