Individual ProviderGweneth L AlexanderNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Hopkins, MN 55343-9664(239) 478-1969PECOS EnrollmentBased on the most recent information from CMS, provider Gweneth L Alexander does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1689921108Provider TypeIndividualFull NameAlexander, Gweneth LCredentialARNP-CGenderFemaleSole ProprietorNoEnumeration Date8/15/2012Last Updated9/9/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Hopkins, MN 55343-9664Phone(239) 478-1969FaxUnlisted FaxMailing LocationMailing Address305 NW 26th Pl, Cape Coral, FL 33993-6413Phone(239) 478-1969FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP 9254337FloridaCode363LA2200XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP 9254337FloridaProvider IdentifiersIDDescriptionIssuerID009561700DescriptionMedicaidIssuerUnlistedFloridaIDY0J2XDescriptionOtherIssuerBCBS OF FLFloridaIDP1019921DescriptionOtherIssuerFREEDOMFloridaID7290198DescriptionOtherIssuerCIGNAFloridaIDP01223393DescriptionOtherIssuerRAILROAD MCRFloridaIDP958468DescriptionOtherIssuerOPTIMUMFlorida