Healthcare Provider Details

I. General information

NPI: 1962316042
Provider Name (Legal Business Name): ALEXA HAMPTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26900 N LAKE PLEASANT PKWY
PEORIA AZ
85383-1394
US

IV. Provider business mailing address

6633 E MCDONALD DR
PARADISE VALLEY AZ
85253-5322
US

V. Phone/Fax

Practice location:
  • Phone: 480-310-1593
  • Fax:
Mailing address:
  • Phone: 480-310-1593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: