IndividualActive
Alexandra Wakefield, CRNP
NPI 1053002212 · Pediatric Otolaryngology Physician · Philadelphia, PA
Provider details
- NPI number
- 1053002212
- Entity type
- Individual
- Primary specialty
- Pediatric Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- SP027575 (PA)
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (800) 879-2467
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Registry dates
- Enumerated
- 2023-05-18
- Last updated
- 2023-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.