Healthcare Provider Details

I. General information

NPI: 1730690306
Provider Name (Legal Business Name): ALEXANDRA I SABBIA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA I SHAPIRO CRNP

II. Dates (important events)

Enumeration Date: 10/23/2017
Last Update Date: 02/04/2021
Certification Date: 02/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 8TH AVE STE 201
BETHLEHEM PA
18018-1893
US

IV. Provider business mailing address

1521 8TH AVE STE 201
BETHLEHEM PA
18018-1893
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-2598
  • Fax: 866-522-4710
Mailing address:
  • Phone: 484-526-2598
  • Fax: 866-522-4710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP017956
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: