Provider Demographics
NPI:1184494940
Name:STROUSE, ALEXANDRA E (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:E
Last Name:STROUSE
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5641 PENNS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:AARONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16820-9312
Mailing Address - Country:US
Mailing Address - Phone:814-574-5906
Mailing Address - Fax:
Practice Address - Street 1:5641 PENNS VALLEY RD
Practice Address - Street 2:
Practice Address - City:AARONSBURG
Practice Address - State:PA
Practice Address - Zip Code:16820-9312
Practice Address - Country:US
Practice Address - Phone:814-574-5906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN699821163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant