Provider Demographics
NPI:1528564572
Name:NARZIKUL, ALEXA CHRISTINE
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:CHRISTINE
Last Name:NARZIKUL
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 1:200 WHITE TAIL LN
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4348
Mailing Address - Country:US
Mailing Address - Phone:610-909-7372
Mailing Address - Fax:
Practice Address - Street 1:200 WHITE TAIL LN
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-4348
Practice Address - Country:US
Practice Address - Phone:610-909-7372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program