HomeNPI Verification

NPI Verification

National Provider Identifier: 1336896364

Alexandra Acquaviva, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

4430 MISSOURI AVE

FORT LEONARD WOOD, MO 654739098

Phone: 573-596-0417

NPI Enumeration Date

March 9, 2022

NPI Number

1336896364

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry