Healthcare Provider Details

I. General information

NPI: 1558689679
Provider Name (Legal Business Name): ALEXANDRA PAULA LIVINGSTON REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2010
Last Update Date: 05/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5060 SW 9TH LN
GAINESVILLE FL
32607-3867
US

IV. Provider business mailing address

5060 SW 9TH LN
GAINESVILLE FL
32607-3867
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-1027
  • Fax: 325-377-1027
Mailing address:
  • Phone: 352-377-1027
  • Fax: 325-377-1027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9177360
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WC3500X
TaxonomyCardiac Rehabilitation Registered Nurse
License NumberRN9177360
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN9177360
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9177360
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9177360
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN9177360
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: