Provider Demographics
NPI:1396473906
Name:ALEXANDER, AMANDA N (CRNP)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:N
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3824 NORTHERN PIKE STE 700
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2184
Mailing Address - Country:US
Mailing Address - Phone:412-470-0060
Mailing Address - Fax:
Practice Address - Street 1:3824 NORTHERN PIKE STE 200
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2173
Practice Address - Country:US
Practice Address - Phone:412-380-2800
Practice Address - Fax:412-380-2812
Is Sole Proprietor?:No
Enumeration Date:2022-08-11
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026043363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily