IndividualActive
Alexa Kisselbach
NPI 1538782818 · Pediatric Nurse Practitioner · New York, NY
Provider details
- NPI number
- 1538782818
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 702516 (NY)
Mailing address
532 Lorimer St Apt 3b
Brooklyn, NY 11211-5991
Registry dates
- Enumerated
- 2020-05-21
- Last updated
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.