| Doctor Name: | MS. IVY M. ALEXANDER |
| NPI Number: | 1447291752 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 000630 |
| Business Practice Address: | 1 Royce Cir Suite 104 Storrs, CT - 062682260 |
| Business Phone Number: | 8604879200 |
| Business Fax Number: | 8604879222 |
| Mailing Address: | 1 Royce Cir, Suite 104 STORRS |
| State: | CT |
| Postal Code: | 062682260 |
| Phone Number: | 8604879200 |
| Fax Number: | 8604879222 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 04/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 000630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |