Individual provider · Type 1 NPI
Alexandra Boursiquot
Psychiatric/Mental Health Nurse Practitioner · Hyattsville, MD
NPI number
1245752278
Active
Practice location
4206 75th Ave
Hyattsville, MD 20784-2318
Fax (301) 576-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN1044797 (DC) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R226935 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1245752278
Alexandra Boursiquot's National Provider Identifier is 1245752278, issued on Jul 11, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hyattsville, MD. The record was last updated on Nov 25, 2025.