Provider Demographics
NPI:1982382354
Name:ALEXANDER, LOAN THI
Entity Type:Individual
Prefix:
First Name:LOAN
Middle Name:THI
Last Name:ALEXANDER
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 1:66 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44003-9487
Mailing Address - Country:US
Mailing Address - Phone:440-850-1466
Mailing Address - Fax:
Practice Address - Street 1:66 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:OH
Practice Address - Zip Code:44003-9487
Practice Address - Country:US
Practice Address - Phone:440-850-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide