Healthcare Provider Details

I. General information

NPI: 1093632317
Provider Name (Legal Business Name): ALEXIS GUYER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEXIE GUYER

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1354 S WALLICK RD
PERU IN
46970-7293
US

IV. Provider business mailing address

1874 W GOLDEN HILLS DR
PERU IN
46970-7226
US

V. Phone/Fax

Practice location:
  • Phone: 765-313-8262
  • Fax:
Mailing address:
  • Phone: 765-513-2406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28276000A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: