Provider Demographics
NPI:1134887946
Name:COWPER, ALEXANDRA MICHAEL (CNM)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:MICHAEL
Last Name:COWPER
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 OLD SAN JOSE RD
Mailing Address - Street 2:
Mailing Address - City:SOQUEL
Mailing Address - State:CA
Mailing Address - Zip Code:95073-9622
Mailing Address - Country:US
Mailing Address - Phone:216-780-1361
Mailing Address - Fax:
Practice Address - Street 1:5303 OLD SAN JOSE RD
Practice Address - Street 2:
Practice Address - City:SOQUEL
Practice Address - State:CA
Practice Address - Zip Code:95073-9622
Practice Address - Country:US
Practice Address - Phone:216-780-1361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNM07339367A00000X
CA236397367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife