Provider Demographics
NPI:1366247876
Name:WILLIAMS, ALEXANDRA (PA-S)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 KRUG LN
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-2951
Mailing Address - Country:US
Mailing Address - Phone:814-594-4327
Mailing Address - Fax:
Practice Address - Street 1:132 FRANCISCAN WAY
Practice Address - Street 2:
Practice Address - City:LORETTO
Practice Address - State:PA
Practice Address - Zip Code:15940-9703
Practice Address - Country:US
Practice Address - Phone:814-472-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program