Provider Demographics
NPI:1386825495
Name:BONES, ALEXANDRIA A (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:A
Last Name:BONES
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 1:1550 S UNION AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1946
Mailing Address - Country:US
Mailing Address - Phone:253-752-0714
Mailing Address - Fax:253-761-2451
Practice Address - Street 1:1550 S UNION AVE
Practice Address - Street 2:STE 210
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1946
Practice Address - Country:US
Practice Address - Phone:253-752-0714
Practice Address - Fax:253-761-2451
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10005342363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant