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NPI 1063134831

NPI 1063134831 : ALEXIS SHIFFER NP : SAINT HELENA, CA

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General NPI Number Information
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    NPI Number           |    1063134831
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXIS SHIFFER NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/16/2022
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    Last Update Date     |    01/21/2025
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Provider Practice Location Address
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    Address Line         |    10 WOODLAND RD 
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    City                 |    SAINT HELENA
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    State                |    CA
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    Zip                  |    94574-9554
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    Country              |    US
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    Telephone            |    707-738-0015
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3789 OXFORD ST 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94558-2736
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95017353
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    License Number State |    CA
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