Individual
ALEXANDRA CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3622 CORLEAR AVE FL 2, BRONX, NY 10463-2306
(917) 721-9310
Mailing address
3622 CORLEAR AVE FL 2, BRONX, NY 10463-2306
(917) 721-9310
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
534656-1
NY
163WW0000X
Wound Care Registered Nurse
534656-1
NY
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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