Individual provider · NPI-1

Alexandra Andraski, CRNP

Nurse Practitioner, Adult Health · Philadelphia, PA

NPI number1508471541
StatusActive
Last updated in NPPESSep 19, 2020

Details

NPI
1508471541
Entity type
Individual (NPI-1)
Name
Alexandra Andraski
Credential
CRNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 15, 2020
Certification date
Sep 19, 2020
Last updated
Sep 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult HealthSP022487PAYes
163WG0600X Registered Nurse, GerontologyRN693565PA

Practice location

2109 Red Lion Rd
Philadelphia, PA 19115-1711

Phone 732-486-7373 · Fax 732-782-7200

Mailing address

3500 Powelton Ave Apt A107
Philadelphia, PA 19104-2400

Phone 608-312-9078

Other practice locations

685 River Ave
Lakewood, NJ 08701-5288

Phone 732-486-7373

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