| Doctor Name: | MS. ALEXANDRA FACKRELL |
| NPI Number: | 1275874125 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 0119001621 |
| Business Practice Address: | 1975 Glenn Mitchell Dr Suite 200 Virginia Beach, VA - 234560167 |
| Business Phone Number: | 7573683284 |
| Business Fax Number: | |
| Mailing Address: | 230 Clearfield Ave, Suite 124 VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234621832 |
| Phone Number: | 7573213383 |
| Fax Number: | 7573213332 |
| NPI Enumeration Date: | 03/01/2013 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | 0119001621 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |