Provider Demographics
NPI:1679764666
Name:ALEXANDER, LINDA PRICE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:PRICE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9713 S 204TH CT
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-1400
Mailing Address - Country:US
Mailing Address - Phone:208-559-0024
Mailing Address - Fax:
Practice Address - Street 1:12039 NE 128TH ST STE 110
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3034
Practice Address - Country:US
Practice Address - Phone:425-822-7662
Practice Address - Fax:425-822-0172
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT335552-4402176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife