MEDICARE: ALEXIS NORDVOLD-YOUNG SILENCE 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
1	363LF0000X	Family Nurse Practitioner	AP10985	AZ

General Provider Information

NPI Number	:	1174022628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS NORDVOLD-YOUNG SILENCE FNP-C

Provider Business Mailing Address
First Line	:	45 E ROANOKE AVE STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1006
Country	:	US
Telephone Number	:	623-552-3745
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 E ROANOKE AVE STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-1006
Country	:	US
Telephone Number	:	623-552-3745
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2018
Last Update Date	:	12/15/2025

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