Provider Demographics
NPI:1871945154
Name:MURRAY, ALEXANDRA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7241 CARPA CT
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-7812
Mailing Address - Country:US
Mailing Address - Phone:215-370-6548
Mailing Address - Fax:
Practice Address - Street 1:7241 CARPA CT
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-7812
Practice Address - Country:US
Practice Address - Phone:215-370-6548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA831045163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant