Provider Demographics
NPI:1386343598
Name:CLICK, ALEXANDREA NICHOLE
Entity type:Individual
Prefix:
First Name:ALEXANDREA
Middle Name:NICHOLE
Last Name:CLICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALEXANDREA
Other - Middle Name:NICHOLE
Other - Last Name:NICKELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5152 ABER RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45176-9592
Mailing Address - Country:US
Mailing Address - Phone:513-767-7371
Mailing Address - Fax:
Practice Address - Street 1:5152 ABER RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-9592
Practice Address - Country:US
Practice Address - Phone:513-767-7371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-27
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide