Provider Demographics
NPI:1689105017
Name:MOORMAN, ALEXA RACHEL (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:RACHEL
Last Name:MOORMAN
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:3 HENDRICK ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-4538
Mailing Address - Country:US
Mailing Address - Phone:978-476-1228
Mailing Address - Fax:
Practice Address - Street 1:400 N PEPPER AVE STE 107
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1801
Practice Address - Country:US
Practice Address - Phone:909-580-2178
Practice Address - Fax:909-580-1388
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2022-07-21
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant