Provider Demographics
NPI:1639918014
Name:GITLITZ, ALEXA (NP)
Entity type:Individual
Prefix:MISS
First Name:ALEXA
Middle Name:
Last Name:GITLITZ
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 13TH ST NW APT B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-5091
Mailing Address - Country:US
Mailing Address - Phone:704-930-9316
Mailing Address - Fax:
Practice Address - Street 1:2800 EISENHOWER AVE STE 200
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-5210
Practice Address - Country:US
Practice Address - Phone:703-562-9220
Practice Address - Fax:703-520-7745
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP1050155363LP0808X
VA0024190185363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health