Provider Demographics
NPI:1598577959
Name:ALEXANDER MATHEW, ANU XANDY (CPNP)
Entity type:Individual
Prefix:
First Name:ANU
Middle Name:XANDY
Last Name:ALEXANDER MATHEW
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:ANU
Other - Middle Name:XANDY
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2812 GOOSEBERRY DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-2044
Mailing Address - Country:US
Mailing Address - Phone:469-554-3532
Mailing Address - Fax:
Practice Address - Street 1:3900 W 15TH ST STE 107
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7789
Practice Address - Country:US
Practice Address - Phone:972-964-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX779589163WP0200X
TXAP143843363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics