Provider Demographics
NPI:1700420296
Name:ALEXANDER, TONYA SUZANNE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:SUZANNE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MRS
Other - First Name:TONYA
Other - Middle Name:
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:5713 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2633
Mailing Address - Country:US
Mailing Address - Phone:806-993-6560
Mailing Address - Fax:806-993-6565
Practice Address - Street 1:5713 82ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2633
Practice Address - Country:US
Practice Address - Phone:806-993-6560
Practice Address - Fax:806-993-6565
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142947363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily