Provider Demographics
NPI:1689125544
Name:ALEXANDRE-PHILIPPE, M.FLORE
Entity Type:Individual
Prefix:MRS
First Name:M.FLORE
Middle Name:
Last Name:ALEXANDRE-PHILIPPE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MARIE FLORE
Other - Middle Name:
Other - Last Name:ALEXANDRE-PHILIPPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1428 ROSALIE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-3321
Mailing Address - Country:US
Mailing Address - Phone:267-423-8542
Mailing Address - Fax:
Practice Address - Street 1:500 OFFICE CENTER DR STE 400
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3234
Practice Address - Country:US
Practice Address - Phone:267-513-1995
Practice Address - Fax:267-513-1729
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN293722164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse