Healthcare Provider Details

I. General information

NPI: 1114449378
Provider Name (Legal Business Name): ALEXANDRA L VOLOVAR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA L PEARSON PA-C

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 TOWNE SQUARE DR STE 301
HERSHEY PA
17033-9440
US

IV. Provider business mailing address

121 TOWNE SQUARE DR STE 301
HERSHEY PA
17033-9440
US

V. Phone/Fax

Practice location:
  • Phone: 717-988-8320
  • Fax:
Mailing address:
  • Phone: 717-988-8320
  • Fax: 717-221-5397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA004200
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA059162
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: