Provider Demographics
NPI:1982265864
Name:STARZHEVSKIY, ALEXANDRA V (APRN)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:V
Last Name:STARZHEVSKIY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 W TIMBERLANE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-0957
Mailing Address - Country:US
Mailing Address - Phone:813-754-4611
Mailing Address - Fax:813-443-8169
Practice Address - Street 1:1601 W TIMBERLANE DR STE 300
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33566-0957
Practice Address - Country:US
Practice Address - Phone:813-754-4611
Practice Address - Fax:813-443-8169
Is Sole Proprietor?:No
Enumeration Date:2019-06-22
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11002801363LF0000X
FLAPRN11002801363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily