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NPI Code Detail

MEDICARE: ALEXIS CHRISTINE GIES CRNP

MEDICARE: ALEXIS CHRISTINE GIES CRNP
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
1363L00000XNurse PractitionerSP024535PA

General Provider Information

NPI Number : 1750045654
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS CHRISTINE GIES CRNP
Provider Business Mailing Address
First Line : 174 GLENN ST
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15906-1948
Country : US
Telephone Number : 814-421-3369
Fax Number :
Provider Business Practice Location Address
First Line : 118 SHAELI DR
Second Line :
City : SOMERSET
State : PA
Zip : 15501-1805
Country : US
Telephone Number : 814-443-0130
Fax Number : 814-443-1365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2021
Last Update Date : 11/20/2023

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