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NPI Code Detail

MEDICARE: ALEXA E. ALBERT, MD FABP PLLC

MEDICARE: ALEXA E. ALBERT, MD FABP PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1144789249
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALEXA E. ALBERT, MD FABP PLLC
Provider Business Mailing Address
First Line : 5129 NE 41ST ST
Second Line :
City : SEATTLE
State : WA
Zip : 98105-4905
Country : US
Telephone Number : 206-559-2454
Fax Number :
Provider Business Practice Location Address
First Line : 5129 NE 41ST ST
Second Line :
City : SEATTLE
State : WA
Zip : 98105-4905
Country : US
Telephone Number : 206-559-2454
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ALEXA ELIZABETH ALBERT
Credential : MD
Telephone Number : 206-559-2454
Provider Enumeration Date : 03/18/2019
Last Update Date : 03/18/2019

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