Provider Demographics
NPI:1952670994
Name:MARKELL, ALEXANDRA CLARE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:CLARE
Last Name:MARKELL
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 WALNUT AVENUE
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-2026
Mailing Address - Country:US
Mailing Address - Phone:315-842-0542
Mailing Address - Fax:
Practice Address - Street 1:29 WALNUT AVENUE
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-2026
Practice Address - Country:US
Practice Address - Phone:315-842-0542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY575858163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse