Provider Demographics
NPI:1437858727
Name:CRITELLI, ALEXANDRIA FRANCES
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:FRANCES
Last Name:CRITELLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 NW PLAINSIDE PL
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-1266
Mailing Address - Country:US
Mailing Address - Phone:515-745-2423
Mailing Address - Fax:
Practice Address - Street 1:219 NW PLAINSIDE PL
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-1266
Practice Address - Country:US
Practice Address - Phone:515-745-2423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF173351363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health