Provider Demographics
NPI:1649689761
Name:ALEXANDER, MALIA (ARNP)
Entity type:Individual
Prefix:
First Name:MALIA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MALEA
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5608 17TH AVE NW STE 1731
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5232
Mailing Address - Country:US
Mailing Address - Phone:206-558-9808
Mailing Address - Fax:206-480-0693
Practice Address - Street 1:15206 10TH AVE SW STE D
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2107
Practice Address - Country:US
Practice Address - Phone:206-558-9808
Practice Address - Fax:206-480-0693
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60775999163W00000X
WAAP60992354363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse