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NPI Code Detail

MEDICARE: MRS. ALEXIS M MOYERS APRN-FNP-C

MEDICARE: MRS. ALEXIS M MOYERS APRN-FNP-C
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
1363LF0000XFamily Nurse PractitionerF08200513OH

General Provider Information

NPI Number : 1063010213
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEXIS M MOYERS APRN-FNP-C
Provider Business Mailing Address
First Line : 6695 LOUANN DR
Second Line :
City : NORTH OLMSTED
State : OH
Zip : 44070-4943
Country : US
Telephone Number : 440-213-4167
Fax Number :
Provider Business Practice Location Address
First Line : 2500 METROHEALTH DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-1900
Country : US
Telephone Number : 218-778-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2020
Last Update Date : 07/07/2023

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