Provider Demographics
NPI:1700233608
Name:HABECKER, ALEXANDRIA (PA)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:HABECKER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:152 CONANT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1659
Mailing Address - Country:US
Mailing Address - Phone:978-922-2226
Mailing Address - Fax:978-922-2269
Practice Address - Street 1:21 HIGHLAND AVE STE 16
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3873
Practice Address - Country:US
Practice Address - Phone:978-922-2226
Practice Address - Fax:978-922-2269
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2025-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant