Provider Demographics
NPI:1487543807
Name:MULES-O'ROAK, ALEXANDRA (RN)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:MULES-O'ROAK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:MULES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2325
Mailing Address - Country:US
Mailing Address - Phone:914-217-5151
Mailing Address - Fax:
Practice Address - Street 1:66 FREMONT ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-2325
Practice Address - Country:US
Practice Address - Phone:914-217-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY678598163W00000X
RIRN80201163W00000X
MARN2316496163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse