| Doctor Name: | RETHA ELIZABETH ALEXANDER |
| NPI Number: | 1689807539 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 6917 |
| Business Practice Address: | 125 Mountain View Dr Suite 200 Vonore, TN - 378852666 |
| Business Phone Number: | 4238842308 |
| Business Fax Number: | 4238842929 |
| Mailing Address: | 125 Mountain View Dr, Suite 200 VONORE |
| State: | TN |
| Postal Code: | 378852666 |
| Phone Number: | 4238842308 |
| Fax Number: | 4238842929 |
| NPI Enumeration Date: | 08/26/2009 |
| NPI Last Update Date: | 08/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 6917 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |