Coralyn J Alexander MD PA

NPI #1013191915 in Twin Falls, Idaho

Provider Information

NPI Number
1013191915
Entity Type
Organization
Organization Name
Coralyn J Alexander MD PA
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
Dec 27, 2007
Last Updated
Aug 23, 2010

Practice Location

Address
488 BLUE LAKES BLVD N
Address 2
STE 102
State
Idaho
ZIP Code
83301-4800
Phone
(208) 734-3900

Authorized Official

Name
CORALYN ALEXANDER, MD
Title
OWNER
Phone
(208) 734-3900

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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