Provider Demographics
NPI:1457028177
Name:THUNHERST, ALEXANDRA NICOLE (APRN-FPA)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:NICOLE
Last Name:THUNHERST
Suffix:
Gender:
Credentials:APRN-FPA
Other - Prefix:MISS
Other - First Name:ALEXANDRA
Other - Middle Name:NICOLE
Other - Last Name:LYEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:60 ORLAND SQUARE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-6522
Mailing Address - Country:US
Mailing Address - Phone:708-726-6944
Mailing Address - Fax:
Practice Address - Street 1:60 ORLAND SQUARE DR STE 101
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-6522
Practice Address - Country:US
Practice Address - Phone:708-726-6944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277.003696363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily