Provider Demographics
NPI:1487338497
Name:LOHR, ALEXANDRA EMILY (CRNP, RN)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:EMILY
Last Name:LOHR
Suffix:
Gender:F
Credentials:CRNP, RN
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:EMILY
Other - Last Name:BALIONIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1495 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-9660
Mailing Address - Country:US
Mailing Address - Phone:724-705-4389
Mailing Address - Fax:
Practice Address - Street 1:155 WILSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-3336
Practice Address - Country:US
Practice Address - Phone:724-225-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN703111163W00000X
PASP027621363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse