Healthcare Provider Details

I. General information

NPI: 1275279143
Provider Name (Legal Business Name): ALEXIS WHITMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4417 ELMWOOD RD
SOUTH EUCLID OH
44121-3505
US

IV. Provider business mailing address

4417 ELMWOOD RD
SOUTH EUCLID OH
44121-3505
US

V. Phone/Fax

Practice location:
  • Phone: 216-337-7281
  • Fax:
Mailing address:
  • Phone: 216-633-5955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberDOU000221
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: