Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | NP14464 | CA |
NPI | 1164629556 |
---|---|
Provider Name | Ms. Alexandra B. Strough |
First Address | San Francisco, CA 94102-2716 |
Second Address | San Francisco, CA 94102-2716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 08/07/2007 |