MEDICARE: ALEXANDRA HILTON FNP - BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	2023208818	MA

General Provider Information

NPI Number	:	1124887559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA HILTON FNP - BC

Provider Business Mailing Address
First Line	:	360 US HIGHWAY 1 BYP UNIT 102
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7105
Country	:	US
Telephone Number	:	603-410-6700
Fax Number	:	603-319-8308

Provider Business Practice Location Address
First Line	:	95 POST OFFICE PARK STE 9525
Second Line	:
City	:	WILBRAHAM
State	:	MA
Zip	:	01095-1199
Country	:	US
Telephone Number	:	413-258-0010
Fax Number	:	413-417-2924

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	05/16/2024

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