National Provider Identifier

Alexandra Clark, NP

Alexandra Clark, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 444-8422.

NPI 1043829641Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1043829641
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 29, 2020
Last Updated
November 05, 2024

Practice Location

  • 200 Canal View Blvd Ste 100
  • Rochester, NY 14623-2850

Phone: (585) 444-8422

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Surgical Oncology Physician (2086X0206X)
Full Record
NPI
1043829641
Entity Type
Individual
Last Name
Clark
First Name
Alexandra
Name Prefix
Miss
Credential
NP
Mailing Street Address
200 Canal View Blvd Ste 100
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-2850
Mailing Country
US
Mailing Phone
(585) 444-8422
Practice Street Address
200 Canal View Blvd Ste 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-2850
Practice Country
US
Practice Phone
(585) 444-8422
Practice Fax
(585) 444-8815
Enumeration Date
July 29, 2020
Last Updated
November 05, 2024
Sex
Female
Sole Proprietor
No
Certification Date
November 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Surgical Oncology Physician (2086X0206X)