Provider Demographics
NPI:1679355432
Name:WASHKO, ALEXIS MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:MARIE
Last Name:WASHKO
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2128
Practice Address - Street 1:325 N ENOLA RD
Practice Address - Street 2:
Practice Address - City:ENOLA
Practice Address - State:PA
Practice Address - Zip Code:17025-2123
Practice Address - Country:US
Practice Address - Phone:717-732-4911
Practice Address - Fax:717-409-8948
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-19
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Provider Licenses
StateLicense IDTaxonomies
PAOA006697363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty