| Doctor Name: | ALEXANDRA PERONE |
| NPI Number: | 1063871200 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | APRN01026 |
| Business Practice Address: | 900 Warren Ave Suite 301 East Providence, RI - 029141430 |
| Business Phone Number: | 4013302480 |
| Business Fax Number: | 4018086329 |
| Mailing Address: | 10 Davol Sq, Suite 400 PROVIDENCE |
| State: | RI |
| Postal Code: | 029034754 |
| Phone Number: | 4014214000 |
| Fax Number: | 4012721456 |
| NPI Enumeration Date: | 02/16/2016 |
| NPI Last Update Date: | 03/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN01026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |