Healthcare Provider Details

I. General information

NPI: 1619830510
Provider Name (Legal Business Name): ALEXANDRA HALFPENNY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 QUINCE CIR
NEWTOWN PA
18940-9289
US

IV. Provider business mailing address

33 QUINCE CIR
NEWTOWN PA
18940-9289
US

V. Phone/Fax

Practice location:
  • Phone: 267-972-4970
  • Fax:
Mailing address:
  • Phone: 267-972-4970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP030010
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: