Healthcare Provider Details
I. General information
NPI: 1265409833
Provider Name (Legal Business Name): ERICA ANNICE ALESSANDRINI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 CAMDEN AVE SUITE 180 STUDENT HEALTH SERVICES HOLLOWAY HALL
SALISBURY MD
21801
US
IV. Provider business mailing address
25375 CLUB CIRCLE
QUANTICO MD
21856
US
V. Phone/Fax
- Phone: 410-543-6262
- Fax: 410-548-7101
- Phone: 410-860-2757
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | R130552 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R130552 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: