Engstrom, Alexandra
Engstrom, Alexandra is an individual health care provider with primary practice located at 1225 Campbell Way Ste 101 , Bremerton WA 98310-3323. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Engstrom, Alexandra can be contacted via phone (360) 479-4203.Contact Information
Primary practice address
1225 Campbell Way Ste 101
Bremerton WA 98310-3323
Phone: (360) 479-4203
Fax: (253) 858-4348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9102026 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA60147999 | Washington |
Profile Details
| NPI number | 1033210372 |
|---|---|
| LBN Legal business name | Engstrom, Alexandra |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Dec 3rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033210372 | NPPES |
| Washington | MEDICAID | 2010157 | |
| Washington | MEDICAID | 292779900 |
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