Individual
MS. ALEXANDRA CHRISTINE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-8187
Mailing address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-8187
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP013363
PA
Other
Enumeration date
11/27/2013
Last updated
02/07/2014
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