Individual
ALEXANDRA L BOURCY-CRANDELL
Active
Individual
ALEXANDRA L BOURCY-CRANDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA56628
CA
363A00000X
Physician Assistant
PA56628
CA
363AM0700X
Medical Physician Assistant
Primary
PA00673
MS
363AM0700X
Medical Physician Assistant
PA56628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00673
MS MEDICAL BOARD
MS
01
—
PA56628
STATE OF CALIFORNIA DCA
CA
Enumeration date
10/27/2018
Last updated
09/26/2022
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