Healthcare Provider Details

I. General information

NPI: 1134966328
Provider Name (Legal Business Name): ALEXANDRA NICOLE ARMSTRONG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2024
Last Update Date: 07/13/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S HUNT CLUB BLVD STE 1051
APOPKA FL
32703-2428
US

IV. Provider business mailing address

5074 BROADSTONE RESERVE CIR APT 200
SANFORD FL
32771-0244
US

V. Phone/Fax

Practice location:
  • Phone: 407-786-4080
  • Fax:
Mailing address:
  • Phone: 352-638-4948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN11033909
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: