Provider Demographics
NPI:1588122998
Name:WILHELM, ALEXANDRA REES (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:REES
Last Name:WILHELM
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:REES
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:9763 COURTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1915
Mailing Address - Country:US
Mailing Address - Phone:540-786-1200
Mailing Address - Fax:
Practice Address - Street 1:9763 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1915
Practice Address - Country:US
Practice Address - Phone:540-786-1200
Practice Address - Fax:540-786-3195
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110007190363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical