Provider Demographics
NPI:1225887185
Name:BUDNIK, ALEXANDRA OSTROWSKI
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:OSTROWSKI
Last Name:BUDNIK
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 1:130 ELM PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANT RIDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48069-1043
Mailing Address - Country:US
Mailing Address - Phone:248-635-3908
Mailing Address - Fax:
Practice Address - Street 1:130 ELM PARK AVE
Practice Address - Street 2:
Practice Address - City:PLEASANT RIDGE
Practice Address - State:MI
Practice Address - Zip Code:48069-1043
Practice Address - Country:US
Practice Address - Phone:248-635-3908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704316667163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse