Provider Demographics
NPI:1861271348
Name:HANSELL, ALEXANDRA GOSCINSKI (NP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:GOSCINSKI
Last Name:HANSELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 COMMAGERE BLVD
Mailing Address - Street 2:
Mailing Address - City:BAY SAINT LOUIS
Mailing Address - State:MS
Mailing Address - Zip Code:39520-2914
Mailing Address - Country:US
Mailing Address - Phone:228-332-1801
Mailing Address - Fax:
Practice Address - Street 1:4313 BLUEBONNET BLVD STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-9679
Practice Address - Country:US
Practice Address - Phone:225-960-1580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA229676363LF0000X
MS905878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily