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General NPI Number Information
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NPI Number | 1154003119
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Entity Type | Individual
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Provider Name | ALEXIS SKURAS DNP, APRN, AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 29532 SOUTHFIELD RD STE 115
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2023
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Country | US
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Telephone | 313-284-2858
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Fax |
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Provider Business Mailing Address
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Address Line | 2940 CROOKS RD
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City | ROYAL OAK
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State | MI
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Zip | 48073-3278
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Country | US
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Telephone | 586-556-7670
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 4704348464
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License Number State | MI
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