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NPI Code Detail

MEDICARE: ALEXANDRA N PRICE DNP, FNP-BC/PMHNP-BC

MEDICARE:   ALEXANDRA N PRICE  DNP, FNP-BC/PMHNP-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
1363LF0000XFamily Nurse Practitioner7296CT
2363LP0808XPsychiatric/Mental Health Nurse Practitioner7296CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265665244
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA N PRICE DNP, FNP-BC/PMHNP-BC
Provider Business Mailing Address
First Line : 855 LAKEWOOD RD
Second Line :
City : WATERBURY
State : CT
Zip : 06704-5408
Country : US
Telephone Number : 860-793-3500
Fax Number :
Provider Business Practice Location Address
First Line : 855 LAKEWOOD RD
Second Line :
City : WATERBURY
State : CT
Zip : 06704-5408
Country : US
Telephone Number : 860-793-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2009
Last Update Date : 02/01/2022

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Directions to “ ALEXANDRA N PRICE DNP, FNP-BC/PMHNP-BC” Practice Location

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