Individual provider · NPI-1

Andrea Alexan

Nurse Practitioner, Family · Roseville, CA

NPI number1669157798
StatusActive
Last updated in NPPESJun 16, 2023

Details

NPI
1669157798
Entity type
Individual (NPI-1)
Name
Andrea Alexan
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2023
Certification date
Jun 16, 2023
Last updated
Jun 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyNP95025518CAYes

Practice location

3057 Pruett Dr
Roseville, CA 95747-4449

Phone 917-995-3463

Mailing address

3057 Pruett Dr
Roseville, CA 95747-4449

Phone 917-995-3463

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