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NPI Code Detail

MEDICARE: ALEXIS DUNN AMORE CNM

MEDICARE: ALEXIS DUNN AMORE CNM
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
1367A00000XAdvanced Practice Midwife190028GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN190024OTHERGASTATE LICENSE
233389OTHERTNSTATE LICENSE

General Provider Information

NPI Number : 1245553312
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS DUNN AMORE CNM
Provider Business Mailing Address
First Line : 1203 POPLAR AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-7241
Country : US
Telephone Number : 901-274-3550
Fax Number :
Provider Business Practice Location Address
First Line : 1203 POPLAR AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-7241
Country : US
Telephone Number : 901-274-3550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2010
Last Update Date : 07/21/2023

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