| NPI | 1366159824 |
|---|---|
| Former Name | ALEXANDRA LYNN VREELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9680) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9680) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-12-01 |