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NPI Code Detail

MEDICARE: ALEXANDRIA N NICKLESS DO

MEDICARE: ALEXANDRIA N NICKLESS DO
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
1207L00000XAnesthesiology PhysicianOS017477PA

General Provider Information

NPI Number : 1700106283
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA N NICKLESS DO
Provider Business Mailing Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-3155
Fax Number : 412-359-3483
Provider Business Practice Location Address
First Line : 320 E NORTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15212-4756
Country : US
Telephone Number : 412-359-3155
Fax Number : 412-359-3483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2010
Last Update Date : 01/16/2026

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Directions to “ ALEXANDRIA N NICKLESS DO” Practice Location

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