Provider Demographics
NPI:1346417953
Name:NELSON, ALEXANDRA BRONWEN (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:BRONWEN
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UCSF NEUROLOGY DEPT 505 PARNASSUS AVE
Mailing Address - Street 2:M798 BOX 0114
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-476-1487
Mailing Address - Fax:
Practice Address - Street 1:UCSF NEUROLOGY DEPT 505 PARNASSUS AVE
Practice Address - Street 2:M798 BOX 0114
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-1487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1037222084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA103722OtherCA LICENSE #