Individual
ALEXANDRA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 RESEARCH BLVD STE 200, ROCKVILLE, MD 20850-3246
(240) 422-1224
Mailing address
11220 NEELSVILLE CHURCH RD, GERMANTOWN, MD 20876-4150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R191474
MD
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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