MEDICARE: ALEXIS DEA SNYDER FNP

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
1	363LF0000X	Family Nurse Practitioner	285839	AZ
2	363LP2300X	Primary Care Nurse Practitioner	285839	AZ

General Provider Information

NPI Number	:	1316894678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS DEA SNYDER FNP

Provider Business Mailing Address
First Line	:	6242 E ARBOR AVE STE 118
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-1309
Country	:	US
Telephone Number	:	602-805-4914
Fax Number	:	602-805-4917

Provider Business Practice Location Address
First Line	:	6242 E ARBOR AVE STE 118
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-1309
Country	:	US
Telephone Number	:	602-805-4914
Fax Number	:	602-805-4917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/31/2026

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Practice Location Address:

6242 E ARBOR AVE , 118
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1639145568 — CHARINA F TECSON MD
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Practice Location Address:

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Practice Location Address:

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Practice Location Address:

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Directions to “ ALEXIS DEA SNYDER FNP” Practice Location

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