Individual
ALEXA TKACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
250 DEBARTOLO PL, BOARDMAN, OH 44512-7004
(330) 314-9100
Mailing address
250 DEBARTOLO PL, BOARDMAN, OH 44512-7004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05220178
OH
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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