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NPI Code Detail

MEDICARE: MRS. ALEXIS MARIE DAOU BSN RN FNP STUDENT

MEDICARE: MRS. ALEXIS MARIE DAOU BSN RN FNP STUDENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program1195523TX

General Provider Information

NPI Number : 1083546352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEXIS MARIE DAOU BSN RN FNP STUDENT
Provider Business Mailing Address
First Line : 100 OCHRE POINT AVE # A
Second Line :
City : NEWPORT
State : RI
Zip : 02840-4192
Country : US
Telephone Number : 401-847-6650
Fax Number :
Provider Business Practice Location Address
First Line : 100 OCHRE POINT AVE # A
Second Line :
City : NEWPORT
State : RI
Zip : 02840-4192
Country : US
Telephone Number : 401-847-6650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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