Individual
ALEXANDRA CORNWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
4 TROWBRIDGE PL APT 3C, CAMBRIDGE, MA 02138-4129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2325324
MA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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