Provider Demographics
NPI:1013247717
Name:MORREL, ALEXANDRA TALBOTT (CRNP-F)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:TALBOTT
Last Name:MORREL
Suffix:
Gender:F
Credentials:CRNP-F
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:SPENCER
Other - Last Name:TALBOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3003 N CHARLES ST
Mailing Address - Street 2:N200
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-3855
Mailing Address - Country:US
Mailing Address - Phone:410-516-6190
Mailing Address - Fax:410-516-4784
Practice Address - Street 1:3003 N CHARLES ST
Practice Address - Street 2:N200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-3855
Practice Address - Country:US
Practice Address - Phone:410-516-6190
Practice Address - Fax:410-516-4784
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR161592363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily