IndividualActive
Alexandra Mountford
NPI 1114676822 · Pediatric Nurse Practitioner · Waldorf, MD
Provider details
- NPI number
- 1114676822
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- AC004176 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Practice location
3500 Old Washington Rd Ste 101
Waldorf, MD 20602-3205
Phone: (301) 885-5020
Fax: (240) 419-5217
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Old Washington Rd Ste 101
Waldorf, MD 20602-3205
Registry dates
- Enumerated
- 2022-03-21
- Last updated
- 2022-04-29
- Certified
- 2022-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.