MS. ALEXANDRA ENGSTROM PA-C NPI 1033210372

NPI Information

NPI: 1033210372
Provider Name: MS. ALEXANDRA ENGSTROM, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1225 CAMPBELL WAY STE 101
BREMERTON, WA
ZIP 98310
Phone: (360) 479-4203
Get Directions

MS. Alexandra Engstrom, PA-C is a surgical physician assistant in Bremerton, WA with 22 years of experience. MS. Alexandra Engstrom, PA-C NPI is 1033210372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1225 CAMPBELL WAY STE 101
BREMERTON, WA
ZIP 98310-323
Phone: (360) 479-4203
Fax: (253) 858-4348

The NPI 1033210372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 12/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	363A00000X	Physician Assistant		PA9102026	FLORIDA	No
3	363AS0400X	Physician Assistant	Surgical	PA60147999	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2010157	MEDICAID	WASHINGTON
2	292779900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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