Sanroma, Alexandra Blue

Sanroma, Alexandra Blue is an individual health care provider with primary practice located at 500 S University Ave Little Rock Dermatology Clinic Suite 301, Little Rock AR 72205-5302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Sanroma, Alexandra Blue can be contacted via phone (501) 664-4161.

Contact Information

Primary practice address
500 S University Ave Little Rock Dermatology Clinic Suite 301 Little Rock AR 72205-5302
Phone: (501) 664-4161
Fax: (501) 664-6108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X P-T1551 Arkansas

Profile Details

NPI number 1497128722
LBN Legal business name Sanroma, Alexandra Blue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2015
Last updated Oct 20th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497128722 NPPES
Arkansas Other P-T1551 STATE

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