IndividualActive
Alexandra Cornwall, PA-C
NPI 1003208612 · Physician Assistant · Tacoma, WA
Provider details
- NPI number
- 1003208612
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone: (253) 596-3300
Approximate (ZIP-level) locationGet directions
Mailing address
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Additional practice locations (1)
- 11315 Bridgeport Way SwLakewood, WA 98499-3004Phone: (401) 644-2940
Registry dates
- Enumerated
- 2015-02-19
- Last updated
- 2021-04-05
- Certified
- 2021-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.