Provider Demographics
NPI:1376226845
Name:MAMONE, ALEXA NOEL (PA-C)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:NOEL
Last Name:MAMONE
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 1:362 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3756
Mailing Address - Country:US
Mailing Address - Phone:412-734-1100
Mailing Address - Fax:412-734-5885
Practice Address - Street 1:1517 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5111
Practice Address - Country:US
Practice Address - Phone:412-734-1100
Practice Address - Fax:412-734-5885
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical