Individual
ALEXANDRA KIRTCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621
(626) 403-6200
Mailing address
1017 S FAIR OAKS AVE, PASADENA, CA 91105-2621
(626) 403-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95005127
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95005127
CA
Other
Enumeration date
10/06/2016
Last updated
04/20/2018
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