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NPI Code Detail

MEDICARE: ALEXIS FRAIRE

MEDICARE: ALEXIS FRAIRE
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
1363L00000XNurse Practitioner64141NM

General Provider Information

NPI Number : 1790628881
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS FRAIRE
Provider Business Mailing Address
First Line : 3450 ZAFARANO DR UNIT C
Second Line :
City : SANTA FE
State : NM
Zip : 87507-2669
Country : US
Telephone Number : 505-466-5885
Fax Number :
Provider Business Practice Location Address
First Line : 3450 ZAFARANO DR UNIT C
Second Line :
City : SANTA FE
State : NM
Zip : 87507-2669
Country : US
Telephone Number : 505-466-5885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ ALEXIS FRAIRE ” Practice Location

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