Provider Demographics
NPI:1669290920
Name:HELD, ALEXANDRA NOELLE
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NOELLE
Last Name:HELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 DEATS ST
Mailing Address - Street 2:
Mailing Address - City:LLANO
Mailing Address - State:TX
Mailing Address - Zip Code:78643-1970
Mailing Address - Country:US
Mailing Address - Phone:512-800-3918
Mailing Address - Fax:
Practice Address - Street 1:1503 DEATS ST
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-1970
Practice Address - Country:US
Practice Address - Phone:512-800-3918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program