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NPI Code Detail

MEDICARE: PATRICE K CLOR ALEXANDER CRNA

MEDICARE:   PATRICE K CLOR ALEXANDER  CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN541273PA

General Provider Information

NPI Number : 1780671727
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE K CLOR ALEXANDER CRNA
Provider Business Mailing Address
First Line : 3500 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4106
Country : US
Telephone Number : 215-707-2433
Fax Number :
Provider Business Practice Location Address
First Line : 7600 CENTRAL AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-2442
Country : US
Telephone Number : 215-707-3326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/24/2025

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Directions to “ PATRICE K CLOR ALEXANDER CRNA” Practice Location

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