Provider Demographics
NPI:1740708528
Name:HENGY, ALEXANDRA JENNETTE
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JENNETTE
Last Name:HENGY
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 1:4287 HARBOUR TOWNE DR APT 6
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-1462
Mailing Address - Country:US
Mailing Address - Phone:269-921-5110
Mailing Address - Fax:
Practice Address - Street 1:4287 HARBOUR TOWNE DR APT. 6
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603
Practice Address - Country:US
Practice Address - Phone:269-921-5110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program