Individual provider · Type 1 NPI

Alexandra M. Wack, CRNP

Nurse Practitioner · Bryn Mawr, PA

NPI number 1770866402 Active

Practice location

918 County Line Rd
Bryn Mawr, PA 19010-2502

Fax (610) 525-6631

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP011592 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1770866402

Alexandra M. Wack, CRNP's National Provider Identifier is 1770866402, issued on Sep 20, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bryn Mawr, PA. The record was last updated on Sep 20, 2011.