Provider Demographics
NPI:1699712901
Name:ALEXANDER, LYN (CRNP)
Entity type:Individual
Prefix:
First Name:LYN
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:29 PLANTATION PARK DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-9001
Mailing Address - Country:US
Mailing Address - Phone:843-706-2255
Mailing Address - Fax:843-706-2257
Practice Address - Street 1:29 PLANTATION PARK DR
Practice Address - Street 2:202
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-9001
Practice Address - Country:US
Practice Address - Phone:843-706-2255
Practice Address - Fax:843-706-2257
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCAPN.18222 APRN363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner