Provider Demographics
NPI:1194167825
Name:MCCAFFREY, ALEXANDRA COBURN (NP)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:COBURN
Last Name:MCCAFFREY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:165 CAMBRIDGE ST STE 600
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2781
Mailing Address - Country:US
Mailing Address - Phone:617-724-3914
Mailing Address - Fax:617-724-7290
Practice Address - Street 1:30 NORTHAMPTON STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-4010
Practice Address - Country:US
Practice Address - Phone:617-433-9601
Practice Address - Fax:617-445-6538
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2271617363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health