Provider Demographics
NPI:1245927698
Name:ALEXANDER, DARLA (RN)
Entity type:Individual
Prefix:MRS
First Name:DARLA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 LATIOLAIS DR
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-4231
Mailing Address - Country:US
Mailing Address - Phone:337-332-4878
Mailing Address - Fax:337-332-4866
Practice Address - Street 1:1346B BREAUX BRIDGE SR HIGH RD
Practice Address - Street 2:
Practice Address - City:BREAUX BRIDGE
Practice Address - State:LA
Practice Address - Zip Code:70517-8140
Practice Address - Country:US
Practice Address - Phone:337-781-0328
Practice Address - Fax:337-332-4866
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN152134163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator