Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Rae Bouren

Individual provider Physician Assistant · NPI 1942908678

Alexandra Rae Bouren is a Physician Assistant in Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011748 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1942908678
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2023
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address3977 Quarterhorse Rd, East Lansing, MI 48823-6192

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