Individual
ALEXANDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2500 N MAYFAIR RD STE 500, WAUWATOSA, WI 53226-1415
(414) 249-2422
(414) 961-0298
Mailing address
2500 N MAYFAIR RD STE 500, WAUWATOSA, WI 53226-1415
(414) 249-2422
(414) 961-0298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8047-33
WI
363LP0200X
Pediatric Nurse Practitioner
8047-33
WI
Other
Enumeration date
10/02/2017
Last updated
08/25/2021
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