Individual
ALEXANDRIA MARIE BAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
Mailing address
139 W CHURCH ST, FAIRCHANCE, PA 15436-1107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019131
PA
363LF0000X
Family Nurse Practitioner
SP019131
PA
Other
Enumeration date
08/24/2018
Last updated
12/31/2025
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