MEDICARE: ALEXIS MOORHOUSE RN

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	163W00000X	Registered Nurse	2496752	MN

General Provider Information

NPI Number	:	1801743711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS MOORHOUSE RN

Provider Business Mailing Address
First Line	:	815 MILL ST W
Second Line	:
City	:	CANNON FALLS
State	:	MN
Zip	:	55009-1931
Country	:	US
Telephone Number	:	651-757-5295
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 NORTH AVE
Second Line	:
City	:	NORTHFIELD
State	:	MN
Zip	:	55057-4946
Country	:	US
Telephone Number	:	507-645-2655
Fax Number	:	507-293-1102

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

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

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