Basic Information
Provider Information
NPI: 1609470350
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEXANDER
FirstName: BRITTANY
MiddleName: DENISE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5645 BELTON LN
Address2:  
City: MCKINNEY
State: TX
PostalCode: 750708865
CountryCode: US
TelephoneNumber: 2149060825
FaxNumber:  
Practice Location
Address1: 221 W COLORADO BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 752082363
CountryCode: US
TelephoneNumber: 2149605681
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/23/2020
LastUpdateDate: 11/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X863836TXN Nursing Service ProvidersRegistered Nurse 
363LA2100X1018457TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


Home