Provider Demographics
NPI:1164629556
Name:STROUGH, ALEXANDRA B (NP, MSN)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:B
Last Name:STROUGH
Suffix:
Gender:F
Credentials:NP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 EDDY ST
Mailing Address - Street 2:HOUSING AND URBAN HLTH CLINIC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-2716
Mailing Address - Country:US
Mailing Address - Phone:415-345-0998
Mailing Address - Fax:415-292-5048
Practice Address - Street 1:234 EDDY ST
Practice Address - Street 2:HOUSING AND URBAN HLTH CLINIC
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-2716
Practice Address - Country:US
Practice Address - Phone:415-345-0998
Practice Address - Fax:415-292-5048
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP14464363LC1500X
CARN587626163WP2201X
CACNS1931364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Not Answered364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health