Provider Demographics
NPI:1871958751
Name:PLANKERS, ALEXIA BETH
Entity type:Individual
Prefix:MS
First Name:ALEXIA
Middle Name:BETH
Last Name:PLANKERS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALEXIA
Other - Middle Name:BETH
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CCM CRP
Mailing Address - Street 1:3336 RED FOX RD
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-1554
Mailing Address - Country:US
Mailing Address - Phone:910-987-9178
Mailing Address - Fax:
Practice Address - Street 1:508 FULTON ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-0411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82162163WC0400X, 286500000X
NC00100758163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No286500000XHospitalsMilitary Hospital