Healthcare Provider Details

I. General information

NPI: 1578973905
Provider Name (Legal Business Name): ALEXANDRA N SCHAIN A.P.R.N
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 SAYBROOK RD STE N100
MIDDLETOWN CT
06457-4741
US

IV. Provider business mailing address

28 CRESCENT ST
MIDDLETOWN CT
06457-3654
US

V. Phone/Fax

Practice location:
  • Phone: 860-358-3130
  • Fax: 860-358-8657
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number005762
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number005762
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: