Provider Demographics
NPI:1538578927
Name:DE OLIVEIRA, ALEXSANDRA (ARNP)
Entity type:Individual
Prefix:
First Name:ALEXSANDRA
Middle Name:
Last Name:DE OLIVEIRA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7241 BRYAN DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1538
Mailing Address - Country:US
Mailing Address - Phone:727-545-4600
Mailing Address - Fax:727-545-4611
Practice Address - Street 1:7241 BRYAN DAIRY RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1538
Practice Address - Country:US
Practice Address - Phone:727-545-4600
Practice Address - Fax:727-545-4611
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9223577363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care