Provider Demographics
NPI:1134305329
Name:ALEJANDRO, TERRI (RN, BSN, PHN, HN-BC)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:ALEJANDRO
Suffix:
Gender:F
Credentials:RN, BSN, PHN, HN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3141 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4360
Mailing Address - Country:US
Mailing Address - Phone:866-267-1701
Mailing Address - Fax:888-785-3513
Practice Address - Street 1:3141 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4360
Practice Address - Country:US
Practice Address - Phone:866-267-1701
Practice Address - Fax:888-785-3513
Is Sole Proprietor?:No
Enumeration Date:2008-01-17
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 135268-9163WD0400X
AZRN157679163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator