Individual
ALEXANDRA ELIZABETH MALISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
7612 ANNBICK LN, CHARLOTTE, NC 28269-9100
(910) 364-6397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12476
NC
363A00000X
Physician Assistant
—
NC
Other
Enumeration date
07/01/2022
Last updated
11/27/2023
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