Provider Demographics
NPI:1720769581
Name:PAVLIK, ALESANDRA GIAMARIO SEAL
Entity Type:Individual
Prefix:
First Name:ALESANDRA
Middle Name:GIAMARIO SEAL
Last Name:PAVLIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7620
Mailing Address - Country:US
Mailing Address - Phone:919-271-9402
Mailing Address - Fax:
Practice Address - Street 1:401 IRVING PKWY STE 310
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-5301
Practice Address - Country:US
Practice Address - Phone:919-385-3800
Practice Address - Fax:919-385-3850
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC898367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife