Individual
MS. ALEXANDRA ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
9 PEQUOSSETTE ST, WATERTOWN, MA 02472-2761
(617) 909-1983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2295294
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA223043
ME
Other
Enumeration date
07/08/2020
Last updated
07/19/2022
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