Alexandra Boursiquot, - Nurse Practitioner in Hyattsville, MD

Alexandra Boursiquot, is a Nurse Practitioner - Psychiatric/mental Health based in Hyattsville, Maryland. Alexandra Boursiquot is licensed to practice in Maryland (license number R226935) and her current practice location is 4206 75th Ave, Hyattsville, Maryland. She can be reached at her office (for appointments etc.) via phone at (240) 413-1255.

NPI number for Alexandra Boursiquot is 1245752278 and her current mailing address is 4206 75th Ave, Hyattsville, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245752278.

Contact Information

Alexandra Boursiquot,
4206 75th Ave,
Hyattsville, MD 20784-2318
(240) 413-1255
Not Available



Provider's Profile

Full NameAlexandra Boursiquot
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4206 75th Ave, Hyattsville, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245752278
  • Provider Enumeration Date: 07/11/2017
  • Last Update Date: 05/10/2024

Medical Identifiers

Medical identifiers for Alexandra Boursiquot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245752278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN1044797 (District Of Columbia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R226935 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexandra Boursiquot is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alexandra Boursiquot,
4206 75th Ave,
Hyattsville, MD 20784-2318

Ph: (240) 413-1255
Alexandra Boursiquot,
4206 75th Ave,
Hyattsville, MD 20784-2318

Ph: (240) 413-1255

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