Healthcare Provider Details

I. General information

NPI: 1649040007
Provider Name (Legal Business Name): ALEXANDRA ROSE CARR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA VAN HOOK

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3821 WILSON BLVD
ARLINGTON VA
22203-1981
US

IV. Provider business mailing address

5926 AMBASSADOR WAY
ALEXANDRIA VA
22310-1746
US

V. Phone/Fax

Practice location:
  • Phone: 703-294-6875
  • Fax:
Mailing address:
  • Phone: 908-698-7381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP500024739
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024188845
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001281018
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: