Basic Information
Provider Information
NPI: 1346693330
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOSKOWITZ
FirstName: ALEXANDRA
MiddleName: BRENNAN
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BRENNAN
OtherFirstName: ALEXANDRA
OtherMiddleName: OWEN
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: FNP-C
OtherLastNameType: 1
Mailing Information
Address1: GEORGE WASHINGTON UNIVERSITY HOSPITAL
Address2: 900 23RD STREET NW
City: WASHINGTON
State: DC
PostalCode: 20037
CountryCode: US
TelephoneNumber: 2027154000
FaxNumber:  
Practice Location
Address1: GWU HOSPITAL
Address2: 900 23RD STREET NW
City: WASHINGTON
State: DC
PostalCode: 20037
CountryCode: US
TelephoneNumber: 2027154000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/14/2016
LastUpdateDate: 07/18/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X9356168FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363L00000XRN1044183DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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