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Individual

ALEXANDRA ELIZABETH BLACKLIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 2ND AVE S # THT422, BIRMINGHAM, AL 35294-0004
(205) 975-8978
Mailing address
27 THE FALLS DR, VESTAVIA HILLS, AL 35216-3112

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-158876
AL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1-158876
AL

Other

Enumeration date
02/21/2022
Last updated
02/01/2024
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