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NPI Code Detail

MEDICARE: ALEXANDRIA RANAY KASKEWICZ APRN

MEDICARE: ALEXANDRIA RANAY KASKEWICZ APRN
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
1363LA2100XAcute Care Nurse PractitionerAPN.1000562CO

General Provider Information

NPI Number : 1881499408
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA RANAY KASKEWICZ APRN
Provider Business Mailing Address
First Line : 6060 FESCUE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-7536
Country : US
Telephone Number : 719-205-6335
Fax Number :
Provider Business Practice Location Address
First Line : 2312 N NEVADA AVE STE 235
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5312
Country : US
Telephone Number : 719-205-6335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2025
Last Update Date : 02/19/2025

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