Healthcare Provider Details

I. General information

NPI: 1487896049
Provider Name (Legal Business Name): ALEXANDRIA GENISE ASKEW CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2009
Last Update Date: 03/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

937 SW 19TH AVENUE RD
OCALA FL
34471-2046
US

IV. Provider business mailing address

1838 SE 8TH AVE
OCALA FL
34471-5227
US

V. Phone/Fax

Practice location:
  • Phone: 352-867-1226
  • Fax:
Mailing address:
  • Phone: 352-843-8588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberCNA131109
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: