Healthcare Provider Details

I. General information

NPI: 1104692003
Provider Name (Legal Business Name): ALEKSANDRA WARD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 11/30/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E CARROLL ST
SALISBURY MD
21801-5422
US

IV. Provider business mailing address

5184 FLEMING MILL RD
POCOMOKE CITY MD
21851-3552
US

V. Phone/Fax

Practice location:
  • Phone: 410-912-6330
  • Fax: 410-912-6331
Mailing address:
  • Phone: 410-726-3985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR218985
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: