Provider Demographics
NPI:1598205924
Name:PALES, ALEXANDRA JAMIE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:JAMIE
Last Name:PALES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:JAMIE
Other - Last Name:SIMMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1000 SE EVERETT MALL WAY STE 305
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-2814
Mailing Address - Country:US
Mailing Address - Phone:773-692-5694
Mailing Address - Fax:
Practice Address - Street 1:1000 SE EVERETT MALL WAY STE 305
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-2814
Practice Address - Country:US
Practice Address - Phone:259-038-9114
Practice Address - Fax:425-502-9097
Is Sole Proprietor?:No
Enumeration Date:2017-03-04
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 60735453363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health