Provider Demographics
NPI:1285293423
Name:ALEXANDER, DANAE
Entity type:Individual
Prefix:
First Name:DANAE
Middle Name:
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 1:3152 S 132ND EAST AVE APT 705
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74134-3411
Mailing Address - Country:US
Mailing Address - Phone:918-814-0778
Mailing Address - Fax:
Practice Address - Street 1:3152 S 132ND EAST AVE APT 705
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74134-3411
Practice Address - Country:US
Practice Address - Phone:918-814-0778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator