Healthcare Provider Details

I. General information

NPI: 1174583025
Provider Name (Legal Business Name): ALEXANDRA H. ARMITAGE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 MILL RD
FAIRHAVEN MA
02719-5208
US

IV. Provider business mailing address

1 HOSPITAL RD
OAK BLUFFS MA
02557-1406
US

V. Phone/Fax

Practice location:
  • Phone: 508-973-2432
  • Fax: 508-973-2435
Mailing address:
  • Phone: 508-684-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number237507
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number237507
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: