NPI 1336630409 · live from the CMS NPI Registry
Alexandra P. Marshall, AUD
Audiologist in Bangor, ME. National Provider Identifier 1336630409, active.
NPI record
| NPI | 1336630409 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 992 Union St, Bangor, ME 04401 |
| Practice phone | 207-941-2850 |
| Mailing address | Po Box 1599, Bangor, ME 04402 |
| Enumerated | May 24, 2018 |
| Last updated | November 2, 2018 |
| Sole proprietor | No |
| Other names | Alexandra Capozzola |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Audiologist primary | 231H00000X | AP2820 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.