Healthcare Provider Details

I. General information

NPI: 1326822479
Provider Name (Legal Business Name): ALEXANDRA PERRONE FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SPRINGFIELD DR STE 175
CHICO CA
95928-5398
US

IV. Provider business mailing address

1515 SPRINGFIELD DR STE 175
CHICO CA
95928-5398
US

V. Phone/Fax

Practice location:
  • Phone: 530-781-1440
  • Fax: 530-342-1663
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95026605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: