Provider Demographics
NPI:1558689679
Name:LIVINGSTON, ALEXANDRA PAULA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:PAULA
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 SW 9TH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-3867
Mailing Address - Country:US
Mailing Address - Phone:352-377-1027
Mailing Address - Fax:325-377-1027
Practice Address - Street 1:5060 SW 9TH LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3867
Practice Address - Country:US
Practice Address - Phone:352-377-1027
Practice Address - Fax:325-377-1027
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9177360163WC0200X, 163WC3500X, 163WD0400X, 163WE0003X, 163WH0200X, 163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WX0200XNursing Service ProvidersRegistered NurseOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9177360OtherSTATE OF FLORIDA, DEPARTMENT OF HEALTH, REGISTERED NURSE LICENSE NUMBER