Provider Demographics
NPI:1629744255
Name:ALEXANDER, ABIGAIL K (APRN, CRNA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:K
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:APRN, CRNA
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:K
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1017A ELVIRA AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37216-3009
Mailing Address - Country:US
Mailing Address - Phone:847-436-8038
Mailing Address - Fax:
Practice Address - Street 1:315 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-5030
Practice Address - Country:US
Practice Address - Phone:847-436-8038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA150501163WC0200X
TN35468367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered