Healthcare Provider Details

I. General information

NPI: 1215805940
Provider Name (Legal Business Name): ALEXANDRIA FAYE SERINO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXANDRIA CAPPOLA

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 NEWBURY STREET
DANVERS MA
01923
US

IV. Provider business mailing address

47 BALLARD ST
TEWKSBURY MA
01876-2101
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2330136
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: