Provider Demographics
NPI:1003380825
Name:FICKLEY, ALEXANDRA LEIGH (PA-C)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LEIGH
Last Name:FICKLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:LEIGH
Other - Last Name:TRANCHINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1633 ROUTE 51
Mailing Address - Street 2:SUITE 103
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025
Mailing Address - Country:US
Mailing Address - Phone:412-469-1500
Mailing Address - Fax:412-469-1531
Practice Address - Street 1:1633 ROUTE 51
Practice Address - Street 2:SUITE 103
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025
Practice Address - Country:US
Practice Address - Phone:412-469-1500
Practice Address - Fax:412-469-1531
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2229363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant