Individual
ALEXANDRIA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 PINELLAS ST STE 200, CLEARWATER, FL 33756-3312
(727) 462-2131
(727) 266-4914
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
106997
IA
363A00000X
Physician Assistant
Primary
PA9117700
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2019
Last updated
02/02/2024
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