Provider Demographics
NPI:1356005979
Name:ORISCHAK, ALEXANDRA JOSEPHINE (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JOSEPHINE
Last Name:ORISCHAK
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W SMITH ST APT 3H
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2287
Mailing Address - Country:US
Mailing Address - Phone:843-298-2223
Mailing Address - Fax:
Practice Address - Street 1:301 E WENDOVER AVE STE 300
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1231
Practice Address - Country:US
Practice Address - Phone:336-268-3380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25472363LF0000X
NC5015521363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily