MEDICARE: MRS. ALEXANDRA STEWARD MSN, CRNP, AGACNP-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	363LA2100X	Acute Care Nurse Practitioner	SP033991	PA
2	363LA2200X	Adult Health Nurse Practitioner	SP099331	PA
3	363LC0200X	Critical Care Medicine Nurse Practitioner	SP033991	PA

General Provider Information

NPI Number	:	1750277224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXANDRA STEWARD MSN, CRNP, AGACNP-BC

Provider Business Mailing Address
First Line	:	1 CONVENTION AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4311
Country	:	US
Telephone Number	:	215-662-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 SPRUCE ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-4238
Country	:	US
Telephone Number	:	215-662-4000
Fax Number	:

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

Provider Enumeration Date	:	06/13/2025
Last Update Date	:	12/16/2025

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