Individual
ALEXANDRA STILLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-0100
Mailing address
300 HERB HILL RD # P47I, GLEN COVE, NY 11542-4414
(609) 649-3582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16421800
NJ
163W00000X
Registered Nurse
733131
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
132361
NJ
Other
Enumeration date
07/08/2021
Last updated
09/07/2021
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