Provider Demographics
NPI:1750076279
Name:ALEXANDER, TESHA LEE (BSN, RN)
Entity type:Individual
Prefix:
First Name:TESHA
Middle Name:LEE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:TESHA
Other - Middle Name:LEE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2609 71ST ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4709
Mailing Address - Country:US
Mailing Address - Phone:515-577-1248
Mailing Address - Fax:
Practice Address - Street 1:3600 30TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-5753
Practice Address - Country:US
Practice Address - Phone:515-599-6999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA147741163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation