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NPI Code Detail

MEDICARE: ALEXIS NERIAH VIRAY-EDWARDS APRN, FNP-C

MEDICARE: ALEXIS NERIAH VIRAY-EDWARDS 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
1207RR0500XRheumatology PhysicianF04230207TX
2363L00000XNurse Practitioner1121313TX

General Provider Information

NPI Number : 1346929247
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS NERIAH VIRAY-EDWARDS APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 35232
Second Line : ATTN: CREDENTIALING
City : BELFAST
State : ME
Zip : 04915-0630
Country : US
Telephone Number : 817-375-5200
Fax Number : 817-299-1789
Provider Business Practice Location Address
First Line : 2716 TRAVIS STREET
Second Line :
City : DESOTO
State : TX
Zip : 75115-2089
Country : US
Telephone Number : 817-375-5200
Fax Number : 817-299-1789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 04/21/2025

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