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 10 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