Healthcare Provider Details

I. General information

NPI: 1689357378
Provider Name (Legal Business Name): ALEXA OAKLEY MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXA ALLARD

II. Dates (important events)

Enumeration Date: 08/09/2023
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SHAWS CV STE 103
NEW LONDON CT
06320-4956
US

IV. Provider business mailing address

4 SHAWS CV STE 103
NEW LONDON CT
06320-4956
US

V. Phone/Fax

Practice location:
  • Phone: 860-443-3778
  • Fax:
Mailing address:
  • Phone: 860-443-3778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17199
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN03735
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: