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NPI Code Detail

MEDICARE: ALEXANDRA ANDRASKI CRNP

MEDICARE: ALEXANDRA ANDRASKI CRNP
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
1363LA2200XAdult Health Nurse PractitionerSP022487PA
2163WG0600XGerontology Registered NurseRN693565PA

General Provider Information

NPI Number : 1508471541
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA ANDRASKI CRNP
Provider Business Mailing Address
First Line : 3500 POWELTON AVE APT A107
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2400
Country : US
Telephone Number : 608-312-9078
Fax Number :
Provider Business Practice Location Address
First Line : 2109 RED LION RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-1711
Country : US
Telephone Number : 732-486-7373
Fax Number : 732-782-7200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2020
Last Update Date : 09/19/2020

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