Alexandra Lauren Pettus, NURSE PRACTITIONER - Nurse Practitioner in San Bernardino, CA

Alexandra Lauren Pettus, NURSE PRACTITIONER is a Nurse Practitioner - Family based in San Bernardino, California. Alexandra Lauren Pettus is licensed to practice in California (license number 95028213) and her current practice location is 1800 Western Ave Ste 204, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at (909) 474-9952.

NPI number for Alexandra Lauren Pettus is 1750148748 and her current mailing address is 945 S Ridgecrest Cir, Anaheim, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750148748.

Contact Information

Alexandra Lauren Pettus, NURSE PRACTITIONER
1800 Western Ave Ste 204,
San Bernardino, CA 92411-1353
(909) 474-9952
Not Available

Map and Direction




Provider's Profile

Full NameAlexandra Lauren Pettus
GenderFemale
SpecialityNurse Practitioner - Family
Location1800 Western Ave Ste 204, San Bernardino, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750148748
  • Provider Enumeration Date: 03/05/2024
  • Last Update Date: 03/05/2024

Medical Identifiers

Medical identifiers for Alexandra Lauren Pettus such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750148748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95028213 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexandra Lauren Pettus is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alexandra Lauren Pettus, NURSE PRACTITIONER
945 S Ridgecrest Cir,
Anaheim, CA 92807-4502

Ph: (256) 620-1972
Alexandra Lauren Pettus, NURSE PRACTITIONER
1800 Western Ave Ste 204,
San Bernardino, CA 92411-1353

Ph: (909) 474-9952

Reviews and Comments


Nurse Practitioner Nurses in San Bernardino, CA

Ms. Mariana Concepcion Moualem, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Western Ave Ste 305, San Bernardino, CA 92411
Phone: 909-880-9993    Fax: 909-880-9998
Brenda Jean Boyle, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1455 East 3rd Street, San Bernardino, CA 92410
Phone: 909-382-7100    Fax: 909-382-7103
Mrs. Jocelyn Ellen Seitz-keough, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1998 N Arrowhead Ave, San Bernardino, CA 92405
Phone: 909-882-0988    
Laura Elise Hiday,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Childrens Assessment Ctr, 700 E Gilbert St, San Bernardino, CA 92415
Phone: 909-382-3535    
Laura Andrews, NURSE PRACTIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 598 N F St, San Bernardino, CA 92410
Phone: 909-888-8152    Fax: 909-884-7530
Ms. Dawn Michelle Downs, MSN, FNP-BC, RN, CCR
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 18592 Cajon Blvd, San Bernardino, CA 92407
Phone: 951-283-9861    
Saul Ramirez,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1800 Western Ave Ste 401, San Bernardino, CA 92411
Phone: 909-880-3677    

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