Provider Demographics
NPI:1588041149
Name:BRAMALL, ALEXA NATALIE (PHDMD)
Entity Type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:NATALIE
Last Name:BRAMALL
Suffix:
Gender:F
Credentials:PHDMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 GERRARD ST. W.
Mailing Address - Street 2:APT. 1702
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M5G2A1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:DUKE UNIVERSITY HOSPITAL
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2016-04-13
Deactivation Date:2015-12-10
Deactivation Code:
Reactivation Date:2016-04-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program