Provider Demographics
NPI:1023765237
Name:AGLIECO, ALEXANDRA VICTORIA (APRN)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:VICTORIA
Last Name:AGLIECO
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:115 KILDAIRE PARK DR STE 108
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8144
Practice Address - Country:US
Practice Address - Phone:919-469-1252
Practice Address - Fax:919-469-1373
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2024-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL11018006207Q00000X
FL1101806363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine