Provider Demographics
NPI:1164949053
Name:CROSSWHITE, ALEXANDRA NAPOLI (PA-C)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NAPOLI
Last Name:CROSSWHITE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 NAJOLES RD STE 460
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2659
Mailing Address - Country:US
Mailing Address - Phone:443-883-8563
Mailing Address - Fax:410-367-2464
Practice Address - Street 1:231 NAJOLES RD STE 460
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2659
Practice Address - Country:US
Practice Address - Phone:443-883-8563
Practice Address - Fax:410-367-2464
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0006577207N00000X, 363A00000X
DCPA031380363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207N00000XAllopathic & Osteopathic PhysiciansDermatology