Provider Demographics
NPI:1770920001
Name:ALEXANDER, AMY REYNOLDS (MA, CD)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:REYNOLDS
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MA, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10142 SPRINGROSE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-0780
Mailing Address - Country:US
Mailing Address - Phone:225-572-5866
Mailing Address - Fax:
Practice Address - Street 1:10142 SPRINGROSE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-0780
Practice Address - Country:US
Practice Address - Phone:225-572-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula