Healthcare Provider Details

I. General information

NPI: 1114448727
Provider Name (Legal Business Name): ALEXANDRIA BROWN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2017
Last Update Date: 07/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S GEORGE ST
YORK PA
17403-3676
US

IV. Provider business mailing address

1101 CHAMBERS RDG
YORK PA
17402-8421
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-2345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN617483
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: