Individual
ALEXANDRA MCCONVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3477 CORPORATE PKWY STE 100, CENTER VALLEY, PA 18034-8237
(484) 626-0480
(484) 896-9002
Mailing address
1 E BROAD ST STE 130, BETHLEHEM, PA 18018-5934
(484) 626-0480
(484) 896-9002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN512044L
PA
363L00000X
Nurse Practitioner
SP021218
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP021218
PA
Other
Enumeration date
08/28/2019
Last updated
08/14/2024
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