Provider Demographics
NPI:1982348918
Name:ALEXANDER, MELANIE
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WILDWOOD PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7300
Mailing Address - Country:US
Mailing Address - Phone:205-638-9193
Mailing Address - Fax:
Practice Address - Street 1:200 WILDWOOD PKWY STE 130
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-7300
Practice Address - Country:US
Practice Address - Phone:205-638-9193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2025-10-06
Deactivation Date:2023-12-11
Deactivation Code:
Reactivation Date:2025-10-06
Provider Licenses
StateLicense IDTaxonomies
AL1-180605163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse