Individual provider · Type 1 NPI

Alexandra Rosa Clark

Student in an Organized Health Care Education/Training Program · Ashburn, VA

NPI number 1013841063 Active

Practice location

45085 University Dr
Ashburn, VA 20147-2766

Mailing address

300 Kimberly Woods Ct
Fort Washington, MD 20744-5915

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013841063

Alexandra Rosa Clark's National Provider Identifier is 1013841063, issued on Jun 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ashburn, VA. The record was last updated on Jun 12, 2026.