Provider Demographics
NPI:1548063308
Name:SPENCER, ALEXANDRA LEIGH (CPNP-PC, MSN, RN)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:LEIGH
Last Name:SPENCER
Suffix:
Gender:F
Credentials:CPNP-PC, MSN, RN
Other - Prefix:MISS
Other - First Name:ALEXANDRA
Other - Middle Name:LEIGH
Other - Last Name:BONFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18979 E SARATOGA CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4935
Mailing Address - Country:US
Mailing Address - Phone:734-474-9694
Mailing Address - Fax:
Practice Address - Street 1:18979 E SARATOGA CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-4935
Practice Address - Country:US
Practice Address - Phone:734-474-9694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1000339-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics