Individual
MS. ALEXANDRA ROSE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-8484
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP025720
PA
Other
Enumeration date
05/11/2022
Last updated
06/27/2022
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