Individual
MISS ALEXANDRA MARIE TKACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST FL 3, PHILADELPHIA, PA 19104-4229
(215) 662-4000
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP023036
PA
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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