Provider Demographics
NPI:1982315396
Name:WILLIAMS, ALEXANDRIA LEA (RN)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:LEA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALEXANDRIA
Other - Middle Name:LEA
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:436 BLENHEIM CT
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-1527
Mailing Address - Country:US
Mailing Address - Phone:614-305-5145
Mailing Address - Fax:
Practice Address - Street 1:436 BLENHEIM CT
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-1527
Practice Address - Country:US
Practice Address - Phone:614-305-5145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH381686163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty