Provider Demographics
NPI:1104572999
Name:GIANCI, ALEXANDRA MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:MARIE
Last Name:GIANCI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-1517
Mailing Address - Country:US
Mailing Address - Phone:508-472-5473
Mailing Address - Fax:
Practice Address - Street 1:16 WEST ST
Practice Address - Street 2:
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-1517
Practice Address - Country:US
Practice Address - Phone:508-472-5473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2325683163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WU0100XNursing Service ProvidersRegistered NurseUrology