Provider Demographics
NPI:1790205011
Name:MOLCHAN, ALEXANDRA DAVIS (APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:DAVIS
Last Name:MOLCHAN
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:117 NW 42ND AVE APT 1412
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5438
Mailing Address - Country:US
Mailing Address - Phone:954-224-3495
Mailing Address - Fax:
Practice Address - Street 1:117 NW 42ND AVENUE
Practice Address - Street 2:#1412
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126
Practice Address - Country:US
Practice Address - Phone:954-224-3495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9327974363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology