Healthcare Provider Details

I. General information

NPI: 1851295059
Provider Name (Legal Business Name): ALEXANDRIA ROSE HULL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEXANDRIA ROSE MCBRIDE FNP-BC

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 ARGUS DR
DEPEW NY
14043-1649
US

IV. Provider business mailing address

221 ARGUS DR
DEPEW NY
14043-1649
US

V. Phone/Fax

Practice location:
  • Phone: 716-445-3188
  • Fax:
Mailing address:
  • Phone: 716-445-3188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number357057
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: