Individual
ALEXANDRIA GERVELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 BLACKSTONE VALLEY PL STE 306B, LINCOLN, RI 02865-1112
(401) 334-4021
(401) 334-4886
Mailing address
6 BLACKSTONE VALLEY PL STE 306B, LINCOLN, RI 02865-1112
(401) 334-4021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01256
RI
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA01256
STATE LICENSE
RI
01
—
PA7648
STATE LICENSE
MA
Enumeration date
06/24/2020
Last updated
02/26/2023
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