Phelps, Alexandra Rae

Phelps, Alexandra Rae is an sole proprietor health care provider with primary practice located at 8380 Riverwalk Park Blvd Ste 100 , Fort Myers FL 33919-8758. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Phelps, Alexandra Rae can be contacted via phone (239) 343-9960.

Contact Information

Primary practice address
8380 Riverwalk Park Blvd Ste 100 Fort Myers FL 33919-8758
Phone: (239) 343-9960
Fax: (239) 343-9977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X APRN11006293 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11006293 Florida

Profile Details

NPI number 1477187169
LBN Legal business name Phelps, Alexandra Rae
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2020
Last updated Apr 20th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477187169 NPPES
Florida MEDICAID 105748600

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