Individual
ALEXI A GIRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 WESTERN BLVD STE 102, GLASTONBURY, CT 06033-4383
(860) 547-0306
Mailing address
330 WESTERN BLVD STE 102, GLASTONBURY, CT 06033-4383
(860) 547-0306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI100000733
DC
363A00000X
Physician Assistant
Primary
5068
CT
363AS0400X
Surgical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/21/2015
Last updated
02/27/2025
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