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NPI Code Detail

MEDICARE: ALEXANDRA NENNI RN

MEDICARE: ALEXANDRA NENNI RN
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
1163W00000XRegistered Nurse696397NY

General Provider Information

NPI Number : 1467037234
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA NENNI RN
Provider Business Mailing Address
First Line : 2 MONDAVI CIR
Second Line :
City : SPENCERPORT
State : NY
Zip : 14559-2214
Country : US
Telephone Number : 585-760-4306
Fax Number :
Provider Business Practice Location Address
First Line : 3599 BIG RIDGE RD
Second Line :
City : SPENCERPORT
State : NY
Zip : 14559-1799
Country : US
Telephone Number : 585-352-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2021
Last Update Date : 03/13/2021

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